Individual
MADISON CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1116 MITT LARY RD, NORTHPORT, AL 35475-4978
(334) 332-0884
Mailing address
1116 MITT LARY RD, NORTHPORT, AL 35475-4978
(205) 556-5634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-172318
AL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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