Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Diedra Lynn McClerkin

Individual provider Licensed Practical Nurse · NPI 1629868260

Mrs. Diedra Lynn McClerkin is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

5149 Saint Clair St
Detroit, MI 48213-4300
Phone: (313) 721-7215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703064653 (MI)

Record details

NPI number1629868260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

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