Individual
NELLDA C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
440 TAYLOR RD, 3300, MONTGOMERY, AL 36117-3588
(334) 265-7075
(334) 261-6113
Mailing address
440 TAYLOR RD, 3230, MONTGOMERY, AL 36117-3588
(334) 265-7075
(334) 261-6113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-0473524
AL
Other
Enumeration date
06/30/2005
Last updated
02/08/2011
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