Individual
MS. CLARISSA RENEA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN FNP-C
Contact information
Practice address
101 PARK PL, SELMA, AL 36701-6764
(334) 877-1490
Mailing address
508 ALABAMA AVE, SELMA, AL 36701-5807
(334) 412-4854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-155646
AL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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