Individual
PHYLLIS MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
517550
TX
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
517550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042483005
—
TX
05
—
042483006
—
TX
05
—
05572568
—
NM
05
—
200322680 A
—
OK
Enumeration date
07/21/2008
Last updated
03/09/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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