SHANNON JOAN CLARK

RALEIGH, NC
NPI1508299777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5006374)
Enumeration Date2013-08-12
Last Update Date2021-10-08
Business Address
Ms. SHANNON JOAN CLARK AGNP RN
3604 BUSH ST
RALEIGH, NC 27609-7511
Phone number: 919-876-7807
Mailing Address
Ms. SHANNON JOAN CLARK AGNP RN
3031 NEW BERN AVE STE 306
RALEIGH, NC 27610-2989
Phone number: 919-231-3966
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