Individual provider · Type 1 NPI
Kelsey Leigh-Ann Clark, CRNP
Family Nurse Practitioner · Moulton, AL
NPI number
1063010312
Active
Practice location
12461 Al Highway 157
Moulton, AL 35650-1063
Fax (256) 444-6211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-150045 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063010312
Kelsey Leigh-Ann Clark, CRNP's National Provider Identifier is 1063010312, issued on Oct 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moulton, AL. The record was last updated on Jun 24, 2025.