Individual
MR. DEREK ROBERT MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
952 US HIGHWAY 221 BUS, WEST JEFFERSON, NC 28694
(336) 846-6100
(336) 846-7900
Mailing address
PO BOX 70, WEST JEFFERSON, NC 28694-0070
(336) 846-6100
(336) 846-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201844
NC
363LF0000X
Family Nurse Practitioner
Primary
201844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003818
—
NC
Enumeration date
08/17/2006
Last updated
05/13/2024
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