DEBRA CLARK PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1336525625- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 1040 VINEHAVEN DR NE, CONCORD, NC, 280252438
- Phone
- (704) 784-1010
- Fax
- (704) 784-1013
Specialties & Taxonomies
Nurse Practitioner
License: NC #5007863
Nurse Practitioner, Pediatrics
Primary License: NC #5007863