Leslie A Clark, APRN
NPI #1700482163 in Port Orange, Florida
Provider Information
- NPI Number
- 1700482163
- Entity Type
- Individual
- Name
- Leslie A Clark, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 1730 DUNLAWTON AVE STE 1
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-8986
- Phone
- (386) 320-3299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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