Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9257902 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9257902 | FL |
NPI | 1033623269 |
---|---|
Provider Name | Linh Mcclure |
First Address | Oakland, FL 34760-0368 |
Second Address | Kissimmee, FL 34741-4113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2017 |
Last Update Date | 30/10/2019 |