Provider Demographics
NPI:1447891320
Name:MCCLAIN, SUMMER (FNP-C)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 HANNAH LN
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8648
Mailing Address - Country:US
Mailing Address - Phone:409-212-1000
Mailing Address - Fax:409-813-3302
Practice Address - Street 1:740 HOSPITAL DR STE 250
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4666
Practice Address - Country:US
Practice Address - Phone:409-212-1000
Practice Address - Fax:409-813-3302
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily