Provider Demographics
NPI:1174227854
Name:MCCLINTON, TERESA LESLIE (FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LESLIE
Last Name:MCCLINTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19A GRUENE PARK DR # 104
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2484
Mailing Address - Country:US
Mailing Address - Phone:210-901-8102
Mailing Address - Fax:
Practice Address - Street 1:19A GRUENE PARK DR # 104
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2484
Practice Address - Country:US
Practice Address - Phone:210-901-8102
Practice Address - Fax:210-610-5391
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1113023363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner