Kelsey Leigh-Ann Clark, CRNP Valid NPI
Individual provider · Family Nurse Practitioner · Moulton, AL
- NPI
- 1063010312
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 1-150045 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-10-09
- Last updated
- 2025-06-24
Practice location
12461 Al Highway 157
Moulton, AL 35650-1063
(256) 444-6210