Most Relevant Information
Provider Data
| NPI Number: | 1003678442 |
| Provider Name: | KELLI DENISE CLOUSE-MABEY FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1151065 |
Most Important Dates
| Enumeration Date: | 01/30/2024 |
| Last Updated: | 01/30/2024 |
Provider Practice Location
1906 W US HIGHWAY 82
SHERMAN
TX
750926893
Practice Location Phone/Fax
| Phone: | 9038928398 |
| Fax: |
Provider Mailing Location
2111 JASON CIR
SHERMAN
TX
750923035
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |