NPI 1780349795 · live from the CMS NPI Registry
Allyson Danay Clark
Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1780349795, active.
NPI record
| NPI | 1780349795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1600 7th Ave S, Birmingham, AL 35233 |
| Practice phone | 205-638-9100 |
| Enumerated | November 4, 2021 |
| Last updated | April 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-171694 (AL) |
| Registered Nurse | 163W00000X | 1-171694 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.