Individual provider · Type 1 NPI
Kimberly Ann Clark, RN MSN FNP-C
Family Nurse Practitioner · Wheeler, TX
NPI number
1508405028
Active
Practice location
307 East 9th Street
Wheeler, TX 79096-1030
Fax (630) 570-6352
Mailing address
2401 NW 13th St
Lawton, OK 73507-2608
Other practice locations
- 901 South Sweetwater Street, Wheeler, TX 79096-1030 · (806) 826-5581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 95760 (OK) |
| Family Nurse Practitioner | 363LF0000X | F05200738 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | 1014028 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Wheeler
About NPI 1508405028
Kimberly Ann Clark, RN MSN FNP-C's National Provider Identifier is 1508405028, issued on Dec 31, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wheeler, TX. The record was last updated on Oct 20, 2020.