| Doctor Name: | MR. DEREK ROBERT MCCLURE |
| NPI Number: | 1184738338 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | 201844 |
| Business Practice Address: | 405 South Jefferson Ave West Jefferson, NC - 286940070 |
| Business Phone Number: | 3368466100 |
| Business Fax Number: | 3368467900 |
| Mailing Address: | 405 South Jefferson Ave, Po Box 70 WEST JEFFERSON |
| State: | NC |
| Postal Code: | 286940070 |
| Phone Number: | 3368466100 |
| Fax Number: | 3368467900 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201844 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |