Doctor Name: | MRS. AMBER LEA CLEMENTS-FORE |
NPI Number: | 1437448008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | A03506ANP |
Business Practice Address: | 307 N Main St Cave City, AR - 725219700 |
Business Phone Number: | 8702835550 |
Business Fax Number: | 8702836222 |
Mailing Address: | 307 N Main St, CAVE CITY |
State: | AR |
Postal Code: | 725219700 |
Phone Number: | 8702835550 |
Fax Number: | 8702836222 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03506ANP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |