Individual
MR. CLAYTEN LEE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
944 VAN GERT DR, WINTERVILLE, NC 28590-7914
(252) 714-6201
Mailing address
944 VAN GERT DR, WINTERVILLE, NC 28590-7914
(252) 714-6201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
177054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427368232
—
NC
Enumeration date
10/14/2010
Last updated
09/24/2024
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