Individual
MCKENSIE CLARK AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1707 BONITA AVE APT 1, BREWTON, AL 36426-1164
(251) 508-6047
Mailing address
1707 BONITA AVE APT 1, BREWTON, AL 36426-1164
(251) 508-6047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-182878
AL
163W00000X
Registered Nurse
9435917
FL
363LF0000X
Family Nurse Practitioner
Primary
1-182878
AL
Other
Enumeration date
08/10/2022
Last updated
10/11/2022
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