Mcclure, Derek Robert

Mcclure, Derek Robert is an sole proprietor health care provider with primary practice located at 952 Us Highway 221 Bus , West Jefferson NC 28694. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mcclure, Derek Robert can be contacted via phone (336) 846-6100.

Contact Information

Primary practice address
952 Us Highway 221 Bus West Jefferson NC 28694
Phone: (336) 846-6100
Fax: (336) 846-7900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201844 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201844 North Carolina

Profile Details

NPI number 1184738338
LBN Legal business name Mcclure, Derek Robert
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated May 13th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184738338 NPPES
North Carolina MEDICAID 7003818

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