Individual
MRS. TAYLOR ELLIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 ENTERPRISE BLVD STE 45, GREENVILLE, SC 29615-6301
(864) 295-6399
Mailing address
44 DUKE ST, GREENVILLE, SC 29605-4423
(864) 270-6327
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
27071
SC
Other
Enumeration date
02/15/2023
Last updated
05/08/2023
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