Provider Demographics
NPI:1093519969
Name:MCLEAN, CHRISTINA LOUISE HUEY (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LOUISE HUEY
Last Name:MCLEAN
Suffix:
Gender:
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 OSPREY LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3560
Mailing Address - Country:US
Mailing Address - Phone:770-572-3508
Mailing Address - Fax:
Practice Address - Street 1:509 OSPREY LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3560
Practice Address - Country:US
Practice Address - Phone:770-572-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN170413163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant