Most Relevant Information
Provider Data
| NPI Number: | 1003540501 |
| Provider Name: | CLAYTON JOE CARSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2022026858 |
Most Important Dates
| Enumeration Date: | 07/12/2022 |
| Last Updated: | 07/12/2022 |
Provider Practice Location
420 PIEDMONT AVE
PIEDMONT
MO
639571024
Practice Location Phone/Fax
| Phone: | 5732234233 |
| Fax: |
Provider Mailing Location
724 W GREEN HILL ST
PIEDMONT
MO
639571100
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |