Provider Demographics
NPI:1366612046
Name:CLANTON, LEIGH ANN LAWRENCE (RN CRNP)
Entity type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:LAWRENCE
Last Name:CLANTON
Suffix:
Gender:F
Credentials:RN CRNP
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Mailing Address - Street 1:833 ST VINCENTS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-212-5867
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:6285 PARK SOUTH DRIVE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022
Practice Address - Country:US
Practice Address - Phone:205-426-5507
Practice Address - Fax:205-426-5563
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2015-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1074427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily