Brandy Hunter Clark, PMHNP-BC | |
2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | |
(844) 032-5700 | |
Not Available |
Full Name | Brandy Hunter Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2511 Old Cornwallis Rd Ste 200, Durham, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902405095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5013693 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifesource Of North Carolina | 7416132428 | 154 |
Entity Name | Doctors Making Housecalls Psychiatric Medicine,pa |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1518107325 PECOS PAC ID: 9537213186 Enrollment ID: O20090815000138 |
Entity Name | Lifesource Of North Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Brandy Hunter Clark, PMHNP-BC 20 Fairway Dr, Lexington, NC 27292-5431 Ph: (336) 561-1029 | Brandy Hunter Clark, PMHNP-BC 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 Ph: (844) 032-5700 |
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