Individual
MADISON MONTREL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
902 EDDIE RD, PEMBROKE, NC 28372-9555
(910) 706-1599
Mailing address
902 EDDIE RD, PEMBROKE, NC 28372-9555
(910) 706-1599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2026002339
NC
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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