Dejavu Renee McLean, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

371581 Issued in NC

Practice address

116 Wilby Dr
Charlotte, NC 28270-2718

Phone

(980) 229-8706

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precision Healthcare Group LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1386467991
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124841739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WILBY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702718",
            "telephone_number": "980-229-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WILBY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702718",
            "telephone_number": "980-229-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "DEJAVU",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "371581",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NC",
            "license": "371581",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "371581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tondra Crumpler McLaurin, LPC
• Tony Derrick McLaurin II, MSPH, PA-C
• Keisha McLean-Green, CCS, LCAS, MAC, LPC
• Tressy S McLean-Hickey, MSW, LCSW
• Crystal McLean, LCSWA
• Donza Dena McLean, MSW, LCSW
• Elizabeth Sinclair McLean, PA
• Emily Oxford McLean, M.D.
• Jade McLean
• Jonathan O McLean, MD

• Home Health Registered Nurse in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.