Derreka Clinkscale

Nurse's Aide · Youngstown, OH

Individual Active NPI

NPI number 1578243200

Practice location

411 Moherman Ave
Youngstown, OH 44509-1845
Phone
(330) 918-5308

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NPI record

NPI
1578243200
Entity type
Individual (Type 1)
Enumeration date
July 18, 2023
Last updated
July 18, 2023
Certified
July 18, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse's Aide Primary 376K00000X — —

About Derreka Clinkscale

Derreka Clinkscale is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse's Aide (code 376K00000X). The practice location is 411 Moherman Ave, Youngstown, OH 44509-1845. The NPI number 1578243200 was assigned on July 18, 2023 and the record was last updated on July 18, 2023.

Frequently asked questions

What is the NPI number of Derreka Clinkscale?

The NPI number is 1578243200.

What is the phone number of Derreka Clinkscale?

The phone number listed for the practice location is (330) 918-5308.

Where is Derreka Clinkscale located?

411 Moherman Ave, Youngstown, OH 44509-1845.

What is the taxonomy code for Derreka Clinkscale?

The primary taxonomy code is 376K00000X – Nurse's Aide.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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