Provider Demographics
NPI:1417366436
Name:CLAYBORNE, ANNALISE (PNP)
Entity Type:Individual
Prefix:
First Name:ANNALISE
Middle Name:
Last Name:CLAYBORNE
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 N COIT RD STE 2302
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6663
Mailing Address - Country:US
Mailing Address - Phone:469-299-3208
Mailing Address - Fax:469-252-1696
Practice Address - Street 1:1400 N. COIT STE. 2302
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:469-290-3208
Practice Address - Fax:469-252-1696
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP126153363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics