Individual
BROOKE CRAWFORD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 BREEZEWOOD AVE, FAYETTEVILLE, NC 28303-5520
(252) 261-8040
Mailing address
PO BOX 1362, MANTEO, NC 27954-1362
(252) 573-0079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014068
NC
Other
Enumeration date
02/15/2021
Last updated
02/27/2023
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