Individual provider · NPI-1

Clarise Nyenty Agbor, FNP-C

Nurse Practitioner, Primary Care · Abilene, TX

NPI number1396201620
StatusActive
Last updated in NPPESMay 15, 2025

Details

NPI
1396201620
Entity type
Individual (NPI-1)
Name
Clarise Nyenty Agbor
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2019
Certification date
May 15, 2025
Last updated
May 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary CareAP140578TXYes
363LF0000X Nurse Practitioner, FamilyAP140578TX

Practice location

1326 S 14th St Ste D-D1
Abilene, TX 79602-3743

Phone 325-352-0148

Mailing address

702 Mossy Oak Dr
Abilene, TX 79602-7060

Phone 646-391-2990 · Fax 325-275-7931

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