Individual provider · Type 1 NPI

Amanda Jill Clark

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1316737703 Active

Practice location

1800 Novell Pl
Provo, UT 84606-6171

Call (951) 581-0710 Map

Mailing address

1245 Briar Ave
Provo, UT 84604-2864

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316737703

Amanda Jill Clark's National Provider Identifier is 1316737703, issued on May 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on May 8, 2025.