Provider Demographics
NPI:1821527284
Name:CASMIRE CLIFTON, MYEISHA TANE' (FNP)
Entity Type:Individual
Prefix:MS
First Name:MYEISHA
Middle Name:TANE'
Last Name:CASMIRE CLIFTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1345
Mailing Address - Country:US
Mailing Address - Phone:409-832-3377
Mailing Address - Fax:
Practice Address - Street 1:1495 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1345
Practice Address - Country:US
Practice Address - Phone:409-832-3377
Practice Address - Fax:877-547-8271
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134079363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care