Individual provider · Type 1 NPI

Chandler Clark, NP

Neonatal Nurse Practitioner · Kansas City, MO

NPI number 1114632130 Active

Practice location

4401 Wornall Rd
Kansas City, MO 64111-3241

Mailing address

5835 Mission Rd
Fairway, KS 66205-3167

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X0024185283 (VA)
Neonatal Nurse Practitioner Primary 363LN0000X2024036070 (MO)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1114632130

Chandler Clark, NP's National Provider Identifier is 1114632130, issued on Jan 16, 2023. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Kansas City, MO. The record was last updated on Feb 4, 2025.