Individual provider · Type 1 NPI

Nellda C. Clark, CRNP

Acute Care Nurse Practitioner · Montgomery, AL

NPI number 1407853880 Active

Practice location

440 Taylor Rd, 3300
Montgomery, AL 36117-3588

Fax (334) 261-6113

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1-0473524 (AL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1407853880

Nellda C. Clark, CRNP's National Provider Identifier is 1407853880, issued on Jun 30, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Montgomery, AL. The record was last updated on Feb 8, 2011.