Tisha Mcclellan is a Driver based in Branson, MO. Tisha Mcclellan practices in Branson, MO. The NPI Number for Tisha Mcclellan is 1740987437 and holds a License No. J071099002 (Missouri).
The current practice location address for Tisha Mcclellan is 1450 Airport Rd, Branson, MO and can be reached out via phone at 417-559-9860.
Location: 1450 Airport Rd, Branson, MO, 65616-7207
Provider Profile Details
NPI Number
1740987437
Provider Name
Tisha Mcclellan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 Airport Rd, Branson, MO, 65616-7207
Phone Number
417-559-9860
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1450 Airport Rd
City
State
Zip
65616-7207
Phone Number
417-559-9860
Fax Number
Provider Business Mailing Address Details
Address
1450 Airport Rd
City
State
Zip
65616-7207
Phone Number
417-559-9860
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
J071099002 (Missouri)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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