Provider Demographics
NPI:1386294304
Name:MCCLUSKY, BRITTANY ANNE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANNE
Last Name:MCCLUSKY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 BARNHILL RD
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3422
Mailing Address - Country:US
Mailing Address - Phone:409-791-1365
Mailing Address - Fax:
Practice Address - Street 1:955 BARNHILL RD
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3422
Practice Address - Country:US
Practice Address - Phone:409-791-1365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX837096207QA0505X
TXAP143160363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine