Advanced Clinical Consultants PLLC
Organization Active NPI Family Nurse Practitioner · Kings Mountain, KY
NPI 1609570563 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1609570563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ADVANCED CLINICAL CONSULTANTS PLLC
- Practice address
- 24 Old South Fork Rd
Kings Mountain, KY 40442-9702 - Phone
- (606) 448-0693
- NPI assigned
- Mar 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Glen Ware Jr., NP
- Title
- Owner
- Phone
- (606) 448-0693
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2284600 | Advanced Clinical Consultants, PLLC | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes | ||
| Home Health Clinical Nurse Specialist |
364SH0200X |
Addresses
Primary practice location
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Mailing address
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Phone (606) 448-0693
Other providers in Kings Mountain, KY
All providers in Kings Mountain, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.