MEDICARE: DR. KRISTIN NICOLE MCCLURE FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704330357	MI

General Provider Information

NPI Number	:	1811744600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN NICOLE MCCLURE FNP

Provider Business Mailing Address
First Line	:	5267 THAMES CT
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-8347
Country	:	US
Telephone Number	:	517-414-8810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 E MICHIGAN AVE STE 204
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1800
Country	:	US
Telephone Number	:	517-205-2163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	05/01/2024

Similar Medicare Providers

1558168062 — HEBA SAMRA
Practice Location Address:

1100 E MICHIGAN AVE STE 205
JACKSON, MI
49201-1800

Practice Phone: 517-205-7618
Practice Fax: 517-205-7639

1861605362 — CRISTINA TITA M.D.
Practice Location Address:

1100 E MICHIGAN AVE STE 100
JACKSON, MI
49201-1800

Practice Phone: 517-205-3345
Practice Fax:

1649416207 — KIMBERLEY JOHNSON-CRISANTI CNM
Practice Location Address:

1100 E MICHIGAN AVE STE 202 , 205 NORTH EAST AVE.
JACKSON, MI
49201-1800

Practice Phone: 517-788-4800
Practice Fax: 517-841-6917

1073017935 — W. A. FOOTE MEMORIAL HOSPITAL, INC
Practice Location Address:

1100 E MICHIGAN AVE STE 102
JACKSON, MI
49201-1800

Practice Phone: 517-205-4908
Practice Fax: 517-205-7233

1174028856 — W. A. FOOTE MEMORIAL HOSPITAL, INC.
Practice Location Address:

1100 E MICHIGAN AVE STE 104
JACKSON, MI
49201-1800

Practice Phone: 517-205-4961
Practice Fax: 517-205-7769

1538115241 — WJO INC.
Practice Location Address:

1800 JACKSON ST
PHILA, PA
19145-3712

Practice Phone: 215-826-8050
Practice Fax: 215-826-8053

Directions to “ DR. KRISTIN NICOLE MCCLURE FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.