MARY MCCLELLAN SUTTON LPN CSTCFASA NPI 1124235775

NPI Information

  • NPI: 1124235775
  • Provider Name: MARY MCCLELLAN SUTTON, LPN, CST,CFA,,SA
  • Classification: Clinical Nurse Specialist - 364SM0705X
  • Specialization: Medical-Surgical
  • Entity Type: Individual
  • Address: 1297 WALNUT GROVE LN
    SNOW CAMP, NC
    ZIP 27349
  • Phone: (336) 376-3113

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NPI Details

Mary Mcclellan Sutton, LPN, CST,CFA,,SA is a medical-surgical clinical nurse specialist in Snow Camp, NC. Mary Mcclellan Sutton, LPN, CST,CFA,,SA NPI is 1124235775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1297 WALNUT GROVE LN
SNOW CAMP, NC
ZIP 27349-655
Phone: (336) 376-3113
Fax: (336) 376-1876

The enumeration date for this NPI number is 5/16/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247200000XTechnician, Other00F267COLORADONo
2364SM0705XClinical Nurse SpecialistMedical-Surgical027608NORTH CAROLINANo
3364SM0705XClinical Nurse SpecialistMedical-SurgicalSA00147TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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