Individual
MISS ELIZABETH MELISSA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1715 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 944-0650
(407) 732-7925
Mailing address
4300 W LAKE MARY BLVD, SUITE 1010-357, LAKE MARY, FL 32746-2060
(407) 732-7957
(407) 732-7925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009015
NC
363LF0000X
Family Nurse Practitioner
ARNP9362590
FL
Other
Enumeration date
12/08/2008
Last updated
10/18/2016
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