Provider Demographics
NPI:1164159422
Name:MCCLAFFERTY, APRIL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:MCCLAFFERTY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 MARTIN DUKE RD
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-2830
Mailing Address - Country:US
Mailing Address - Phone:940-765-2854
Mailing Address - Fax:
Practice Address - Street 1:5012 US HWY 75 STE 200
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4610
Practice Address - Country:US
Practice Address - Phone:903-465-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX845191163WG0000X
TX1089188363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice