Individual provider · Type 1 NPI

Mary Suann Clark

Family Nurse Practitioner · Killeen, TX

NPI number 1255004271 Active

Practice location

3801 Scott And White Dr
Killeen, TX 76543-5252

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 · (855) 876-7246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1048104 (TX)
Nurse Practitioner 363L00000X1048104 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1255004271

Mary Suann Clark's National Provider Identifier is 1255004271, issued on Jul 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Killeen, TX. The record was last updated on Jan 3, 2023.