Claire Clark

Individual provider Active NPI Family Nurse Practitioner · Talladega, AL

NPI 1407338148 · NPPES record last updated Aug 29, 2018

Key facts

NPI
1407338148
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-149905 (AL)
Practice address
837 Battle St E
Talladega, AL 35160-2670
Phone
(256) 649-8134
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-149905 AL Yes

Addresses

Primary practice location

837 Battle St E
Talladega, AL 35160-2670

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5097

Other providers in Talladega, AL

All providers in Talladega, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.