Clark, Brenda Lou

Clark, Brenda Lou is an individual health care provider with primary practice located at 332 N Trade St Ste 1100, Matthews NC 28105-1728. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Brenda Lou can be contacted via phone (704) 512-6850.

Contact Information

Primary practice address
332 N Trade St Ste 1100 Matthews NC 28105-1728
Phone: (704) 512-6850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5009311 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5009311 North Carolina

Profile Details

NPI number 1760479661
LBN Legal business name Clark, Brenda Lou
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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