Individual provider · Type 1 NPI
Clarissa Carelock-Lee
Gerontology Nurse Practitioner · Rock Hill, SC
NPI number
1184075475
Active
Practice location
1147 Ebenezer Rd
Rock Hill, SC 29732-2355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 20069 (SC) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 20069 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1184075475
Clarissa Carelock-Lee's National Provider Identifier is 1184075475, issued on Jun 28, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rock Hill, SC. The record was last updated on Sep 23, 2016.