Individual provider · Type 1 NPI
Jo Ann Clark, APRN
Pediatric Nurse Practitioner · Magnolia, AR
NPI number
1356378673
Active
Practice location
104 Hospital Drive
Magnolia, AR 71753
Fax (870) 562-2560
Mailing address
PO Box 629
Magnolia, AR 71754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | A01754 (AR) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1356378673
Jo Ann Clark, APRN's National Provider Identifier is 1356378673, issued on Jun 26, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Magnolia, AR. The record was last updated on Apr 27, 2022.