MRS. DIEDRA LYNN MCCLERKIN
NPI 1629868260
Licensed Practical Nurse in Detroit, MI

Q: What is Diedra Mcclerkin's NPI number?

The NPI number for Diedra Mcclerkin is 1629868260. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Q: What is Diedra Mcclerkin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Diedra Mcclerkin was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2025

5149 SAINT CLAIR ST, DETROIT, MI 48213(313) 721-7215 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Diedra Lynn Mcclerkin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIEDRA LYNN MCCLERKIN (NPI 1629868260) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703064653) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1629868260

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. DIEDRA LYNN MCCLERKIN

Location Address5149 SAINT CLAIR STDetroit, MI 48213-4300

Mailing Address42590 Stepnitz DrClinton Township, MI 48036-3161 · (586) 954-1838 · Fax (586) 649-2620

Phone(313) 721-7215

Sole ProprietorYes

Enumeration DateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1629868260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703064653

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5149 SAINT CLAIR ST, Detroit, MI 48213

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diedra Mcclerkin's NPI number?

The NPI number for Diedra Mcclerkin is 1629868260. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Diedra Mcclerkin located?

Diedra Mcclerkin practices at 5149 Saint Clair St, Detroit, MI 48213. The listed phone number is (313) 721-7215.

What is Diedra Mcclerkin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Diedra Mcclerkin was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.