Individual provider · Type 1 NPI
Amy Wilson Clark, NP
Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
NPI number
1285704544
Active
Practice location
1718 E 4th St, Suite 601
Charlotte, NC 28204-3261
Fax (704) 384-1249
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 950019 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285704544
Amy Wilson Clark, NP's National Provider Identifier is 1285704544, issued on Nov 8, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Jan 27, 2009.