Provider Demographics
NPI:1962782342
Name:CLOUD, NANCY LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:CLOUD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 S VIRGINIA HILLS DR
Mailing Address - Street 2:UNIT 2603
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2834
Mailing Address - Country:US
Mailing Address - Phone:972-816-7716
Mailing Address - Fax:
Practice Address - Street 1:7713 RANCHO DE LA OSA TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6043
Practice Address - Country:US
Practice Address - Phone:972-816-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical