Individual provider · Type 1 NPI

Gina K. Clark, ARNP

Nurse Practitioner · Bowling Green, KY

NPI number 1124101332 Active

Practice location

990 Wilkinson Trce Ste 100
Bowling Green, KY 42103-3404

Fax (270) 781-4196

Mailing address

201 Park St
Bowling Green, KY 42101-1759

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X3560P (KY)
Nurse Practitioner Primary 363L00000X3003560 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124101332

Gina K. Clark, ARNP's National Provider Identifier is 1124101332, issued on Oct 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bowling Green, KY. The record was last updated on Apr 11, 2015.