Individual
MRS. MACY LURA THOMPSON CLEVIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
1284 US HIGHWAY 60 W, MORGANFIELD, KY 42437
(270) 389-2323
Mailing address
PO BOX 134, UNIONTOWN, KY 42461-0134
(270) 952-6025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012486
KY
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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