Organization · Type 2 NPI
Carolyn Clark FNP LLC
Family Nurse Practitioner · Branson, MO
NPI number
1134500739
Active
Practice location
1232 Branson Hills Pkwy Ste 106
Branson, MO 65616-4189
Fax (417) 332-3641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2013024407 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134500739
Carolyn Clark FNP LLC's National Provider Identifier is 1134500739, issued on Jun 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Branson, MO. The record was last updated on Jun 9, 2015.