Individual
MRS. DAKOTA ELLIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
380 WOODS COVE RD, SCOTTSBORO, AL 35768-2428
(256) 218-3340
(256) 218-3655
Mailing address
380 WOODS COVE RD, SCOTTSBORO, AL 35768-2428
(256) 218-3340
(256) 218-3655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-156690
AL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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