Individual
CLARIS JOANNE LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Mailing address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5015959
NC
363LP2300X
Primary Care Nurse Practitioner
23271
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000
NO NPI NUMBER AS YET
SC
Enumeration date
06/24/2020
Last updated
06/09/2022
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