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Individual

KELLY ALEXA CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
905 THUNDER RD STE 250, ELIZABETH CITY, NC 27909-7672
(252) 331-2044
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 905-5558
(757) 213-5762

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024192849
VA
363LF0000X
Family Nurse Practitioner
1-185490
AL
363LF0000X
Family Nurse Practitioner
Primary
5021875
NC
363LF0000X
Family Nurse Practitioner
ARNP9349079
FL

Other

Enumeration date
01/18/2017
Last updated
07/17/2025
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