Provider Demographics
NPI:1457118093
Name:CLOUDUS, MARK FRANKLIN (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:FRANKLIN
Last Name:CLOUDUS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1831
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-1831
Mailing Address - Country:US
Mailing Address - Phone:205-712-5056
Mailing Address - Fax:
Practice Address - Street 1:1530 US HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5056
Practice Address - Country:US
Practice Address - Phone:205-487-7531
Practice Address - Fax:205-487-7372
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-144961363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily