Individual
ASHLYN CORINNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
5103 GREEN KNIGHT CT, RALEIGH, NC 27612-3091
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5019135
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5019135
NC
Other
Enumeration date
11/21/2023
Last updated
02/29/2024
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