Individual provider · Type 1 NPI

Alexis Mikayla Clark, PA-C

Physician Assistant · Fayetteville, AR

NPI number 1053919563 Active

Practice location

1438 E Augustine Ln Ste 2
Fayetteville, AR 72703-5462

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA-943 (AR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053919563

Alexis Mikayla Clark, PA-C's National Provider Identifier is 1053919563, issued on Oct 16, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 10, 2025.