Individual provider · Type 1 NPI
Amy Jo Clark, APNP
Family Nurse Practitioner · Sheboygan, WI
NPI number
1265969356
Active
Practice location
1621 N Taylor Dr Ste 100
Sheboygan, WI 53081-1993
Fax (920) 452-3594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 161099-30 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 7806-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265969356
Amy Jo Clark, APNP's National Provider Identifier is 1265969356, issued on May 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sheboygan, WI. The record was last updated on Dec 30, 2021.