Provider Demographics
NPI:1427843622
Name:MCCLELLAN, HOLLY B
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:B
Last Name:MCCLELLAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 W STREETSBORO ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2774
Mailing Address - Country:US
Mailing Address - Phone:330-554-8053
Mailing Address - Fax:
Practice Address - Street 1:187 W STREETSBORO ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2774
Practice Address - Country:US
Practice Address - Phone:330-554-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker