Provider Demographics
NPI:1033623269
Name:MCCLURE, LINH (DNP, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:DNP, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34760-0368
Mailing Address - Country:US
Mailing Address - Phone:407-205-8242
Mailing Address - Fax:888-806-0864
Practice Address - Street 1:100 E SYBELIA AVE STE 350
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4775
Practice Address - Country:US
Practice Address - Phone:407-205-8242
Practice Address - Fax:888-806-0864
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9257902363L00000X, 363LA2200X
FLARNP9257902363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care