Individual provider · Type 1 NPI

Amanda Nichole Clark, DNP

Family Nurse Practitioner · Georgetown, TX

NPI number 1205654878 Active

Practice location

1507 Rivery Blvd
Georgetown, TX 78628-3058

Fax (512) 509-9555

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 10350 Haligus Rd Ste A, Huntley, IL 60142-9545 · (815) 455-6100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209030659 (IL)
Family Nurse Practitioner Primary 363LF0000X1215968 (TX)
Family Nurse Practitioner 363LF0000X209.030659 (IL)

Family Nurse Practitioner: Definition to come...

20 other providers at this address

Other family nurse practitioner providers in Georgetown

See all in Georgetown →

About NPI 1205654878

Amanda Nichole Clark, DNP's National Provider Identifier is 1205654878, issued on Oct 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Georgetown, TX. The record was last updated on Apr 27, 2026.