Jennifer Anne McLean, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06097 Issued in TX

Practice address

919 Medical Dr
Allen, TX 75013-5021

Phone

(214) 644-0280

Fax

(214) 644-0294

NPI assigned

Jun 7, 2012

Last updated

Dec 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1568724300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135021",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135021",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129982807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jaclyn McPeters

• Medical Physician Assistant in Allen, TX
• Providers in Allen, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.