Individual
MARY A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17385 LANKFORD HWY, PARKSLEY, VA 23421-3882
(757) 665-5996
Mailing address
312 SOUTH MAIN ST, STANTONSBURG, NC 27883
(252) 238-2757
(252) 238-2741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-02432
NC
Other
Enumeration date
01/06/2006
Last updated
04/10/2025
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