Individual provider · Type 1 NPI

Tara Clark

Family Nurse Practitioner · Owensboro, KY

NPI number 1124520986 Active

Practice location

2200 E Parrish Ave, Bldg D Suite 100
Owensboro, KY 42303

Fax (270) 688-1781

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3011436 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124520986

Tara Clark's National Provider Identifier is 1124520986, issued on Mar 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Owensboro, KY. The record was last updated on Mar 7, 2018.