Individual
HALEY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 VETERAN'S BOULEVARD, EUFAULA, AL 36027-4444
(334) 687-8051
(334) 687-0470
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-103042
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-103042
STATE LICENSE
AL
05
—
163453
—
AL
Enumeration date
07/29/2014
Last updated
05/15/2017
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