Individual
MRS. ALLISON PAIGE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP, CPNP-AC
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-7881
Mailing address
3128 WILD PLUM DR, FORT WORTH, TX 76109-2061
(817) 927-6513
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
606087
TX
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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