Clarissa Carelock-Lee
Nurse Practitioner, Gerontology in Rock Hill, SC. Individual provider (NPI-1).
NPI number1184075475
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1184075475
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Carelock-Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2016
- Last updated
- Sep 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 20069 | SC | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 20069 | SC |
Practice location
1147 Ebenezer RdRock Hill, SC 29732-2355
Phone 803-329-6648
Mailing address
1147 Ebenezer RdRock Hill, SC 29732-2355
Phone 803-329-6648
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