Provider Demographics
NPI:1083153332
Name:MCLEAN, NIKOLE M (DNP, FNP-BC, AFN-C)
Entity type:Individual
Prefix:DR
First Name:NIKOLE
Middle Name:M
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:DNP, FNP-BC, AFN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15433 FINISTERE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6442
Mailing Address - Country:US
Mailing Address - Phone:810-728-2229
Mailing Address - Fax:810-728-2229
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-2273
Practice Address - Fax:361-808-2058
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704246079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily