Individual
SAMANTHA M CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2327 LIME KILN LN, LOUISVILLE, KY 40222-3422
(502) 414-4557
Mailing address
3198 SQUIRE CIR, SHELBYVILLE, KY 40065-8589
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011469
KY
Other
Enumeration date
07/11/2017
Last updated
03/13/2020
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