Individual provider · Type 1 NPI

Melanie Jo Clark, MSN, APRN

Family Nurse Practitioner · Louisville, KY

NPI number 1114201795 Active

Practice location

7926 Preston Highway, Suite 106
Louisville, KY 40219-3848

Call (502) 964-4357 Map

Fax (502) 966-5948

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102X3006627 (KY)
Family Nurse Practitioner Primary 363LF0000X3006627 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1114201795

Melanie Jo Clark, MSN, APRN's National Provider Identifier is 1114201795, issued on Sep 30, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Jan 12, 2021.