Individual provider · Type 1 NPI

Lyreva J. Clark, RNFNP-C

Family Nurse Practitioner · Hannibal, MO

NPI number 1548246747 Active

Practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Call (573) 629-3400 Map

Mailing address

PO Box 551
Hannibal, MO 63401-0551

Other practice locations

  • 400 S Center St, Shelbina, MO 63468-1404 · (573) 588-4131
  • 3650 Stardust Dr, Hannibal, MO 63401-2411 · (573) 231-0660

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2003005715 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1548246747

Lyreva J. Clark, RNFNP-C's National Provider Identifier is 1548246747, issued on Dec 20, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hannibal, MO. The record was last updated on Sep 28, 2022.