Individual
NICOLE CLAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1698 HIGHWAY 160 W, SUITE 210, FORT MILL, SC 29708-8032
(804) 547-4343
(803) 547-3914
Mailing address
1698 HIGHWAY 160 W, SUITE 210, FORT MILL, SC 29708-8032
(804) 547-4343
(803) 547-3914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18239
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18239
SC NURSING LICENCE
SC
Enumeration date
05/08/2013
Last updated
05/08/2013
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