Individual provider · Type 1 NPI

Charles Nicholson Clark, FNP

Family Nurse Practitioner · Kerrville, TX

NPI number 1013485713 Active

About NPI 1013485713

Charles Nicholson Clark, FNP's National Provider Identifier is 1013485713, issued on Nov 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kerrville, TX. The record was last updated on Aug 22, 2022.