Individual
KATELYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
114 CABINET SHOP RD, MAXTON, NC 28364-8963
(910) 785-5351
Mailing address
114 CABINET SHOP RD, MAXTON, NC 28364-8963
(910) 785-5351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07240676
NC
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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