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Individual

MRS. CARRIE MAE CLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 323-0334
(910) 676-7340
Mailing address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 323-0334
(910) 676-7340

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5016749
NC
363LF0000X
Family Nurse Practitioner
Primary
5016749
NC

Other

Enumeration date
08/15/2022
Last updated
07/02/2025
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