# CREATIVE ENTERPRISES OF CLARENCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Carol Timmons Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700108990
- **Authorized official:** JOHN D TIMMONS (OWNER)
- **Authorized official phone:** (660) 651-6961

## Contact information

- **Practice address:** 101 N CENTER ST, CLARENCE, MO 63437-1701
- **Practice address phone:** (660) 699-2240
- **Mailing address:** 210 S SHELBY ST, CLARENCE, MO 63437-2105
- **Mailing address phone:** (660) 651-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 092882 | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 092882 | MO | — |
| 363LG0600X | Gerontology Nurse Practitioner | 092882 | MO | — |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 12/19/2012