Mccleery-Derrick, Susen Deanne

Mccleery-Derrick, Susen Deanne is an individual health care provider with primary practice located at 6065 Sports Village Rd Suite 600, Frisco TX 75033-3523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccleery-Derrick, Susen Deanne can be contacted via phone (214) 705-7390.

Contact Information

Primary practice address
6065 Sports Village Rd Suite 600 Frisco TX 75033-3523
Phone: (214) 705-7390
Fax: (214) 705-7393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP128464 Texas

Profile Details

NPI number 1811089899
LBN Legal business name Mccleery-Derrick, Susen Deanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811089899 NPPES
Texas MEDICAID 1568073

Popular Providers