Individual
VALERIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 CHEROKEE AVE SW, CULLMAN, AL 35055-5502
(256) 255-0820
Mailing address
233 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-2622
(334) 625-7602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-182745
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-182745
AL
Other
Enumeration date
01/17/2022
Last updated
02/06/2024
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