Individual
SHERRY L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2703 HENRY ST, GREENSBORO, NC 27405-3669
(336) 621-8911
(336) 621-6322
Mailing address
2703 HENRY ST, GREENSBORO, NC 27405-3669
(336) 621-8911
(336) 621-6322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024169814
VA
363L00000X
Nurse Practitioner
Primary
5006703
NC
Other
Enumeration date
03/05/2012
Last updated
07/09/2015
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