Individual
MRS. HOLLY J CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2065 E SOUTH BLVD, SUITE 201, MONTGOMERY, AL 36116-2458
(334) 747-7250
(334) 747-7270
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-106380
AL
Other
Enumeration date
03/25/2013
Last updated
01/06/2023
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