Individual
CARLA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1602A N MAIN ST, MOUNTAIN GROVE, MO 65711-1010
(417) 269-2350
(417) 926-5626
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018020389
MO
Other
Enumeration date
06/14/2018
Last updated
02/25/2019
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