Individual provider · Type 1 NPI
Nichole Deann Clark, FNP
Family Nurse Practitioner · Clinton, AR
NPI number
1548464936
Active
Practice location
145 Shakerag Road
Clinton, AR 72031-6657
Fax (501) 745-8714
Mailing address
PO Box 1333
Clinton, AR 72031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A01919 (AR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1548464936
Nichole Deann Clark, FNP's National Provider Identifier is 1548464936, issued on Jun 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton, AR. The record was last updated on Nov 4, 2011.