| Ashlyn Rudd Mcclellan, | |
|
406 W South Jordan Pkwy Ste 450, South Jordan, UT 84095-3946 | |
| (801) 919-3008 | |
| Not Available |
| Full Name | Ashlyn Rudd Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 406 W South Jordan Pkwy Ste 450, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063239119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 11636023-3102 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14037948-4405 (Utah) | Primary |
| Entity Name | Togo Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699511071 PECOS PAC ID: 2264973437 Enrollment ID: O20240916003251 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashlyn Rudd Mcclellan, 1140 W Hidden Spring Dr, Santaquin, UT 84655-4665 Ph: (801) 361-1408 | Ashlyn Rudd Mcclellan, 406 W South Jordan Pkwy Ste 450, South Jordan, UT 84095-3946 Ph: (801) 919-3008 |
Candice Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10714 S River Front Pkwy, South Jordan, UT 84095 Phone: 844-899-6462 | |
Jennifer Ashton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, South Jordan, UT 84095 Phone: 801-254-9700 | |
Tianna Jean Fuller, FNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9898 S Glasgow Dr, South Jordan, UT 84009 Phone: 208-409-5273 | |
Mrs. Michaelle Lei Spears, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 922 W Baxter Dr, South Jordan, UT 84095 Phone: 801-253-3200 | |
Breeonah Elaine Sherriff, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10836 S Gresham Dr, South Jordan, UT 84009 Phone: 801-842-4451 | |
Natosha L Tullos, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5432 W Copper Needle Way, South Jordan, UT 84009 Phone: 801-898-1770 | |
Vilate M Thur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095 Phone: 801-567-9750 Fax: 801-567-9826 |