Individual provider · Type 1 NPI
Krysta Ann Clark, NP
Gerontology Nurse Practitioner · Winter Haven, FL
NPI number
1366094914
Active
Practice location
400 Avenue F SE Fl 1
Winter Haven, FL 33880-3751
Mailing address
2995 Drew St Fl 2
Clearwater, FL 33759-3012
Other practice locations
- 619 Midflorida Dr, Lakeland, FL 33813-4916 · (863) 701-7188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 544669 (NY) |
| Family Nurse Practitioner | 363LF0000X | APRN11018536 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11018536 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Winter Haven
- Kimberly Burnam, ARNPGerontology Nurse Practitioner Winter Haven, FL NPI 1093181497
- Shawana Gibson, APRNGerontology Nurse Practitioner Winter Haven, FL NPI 1447976956
- Jodi Levins, ARNP-CGerontology Nurse Practitioner Winter Haven, FL NPI 1538614888
- Amanda Michelle Conner, APRNGerontology Nurse Practitioner Winter Haven, FL NPI 1689177768
- Irene Seidt, APRNGerontology Nurse Practitioner Winter Haven, FL NPI 1760954127
- Deborah GrinkerGerontology Nurse Practitioner Winter Haven, FL NPI 1780348961
- Teresa Gail Olkowski, NPGerontology Nurse Practitioner Winter Haven, FL NPI 1912904830
About NPI 1366094914
Krysta Ann Clark, NP's National Provider Identifier is 1366094914, issued on Jul 14, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Winter Haven, FL. The record was last updated on Jul 8, 2024.