Provider Demographics
NPI:1992172183
Name:MCCLEESE, JULIE JEREE (CPHT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:JEREE
Last Name:MCCLEESE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 BICENTENNIAL PARKWAY
Mailing Address - Street 2:STE 100 #114
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-4484
Mailing Address - Country:US
Mailing Address - Phone:702-343-8173
Mailing Address - Fax:
Practice Address - Street 1:8285 W ARBY AVE
Practice Address - Street 2:HEALTHCARE PARTNERS
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-735-7154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPT13925183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician