Individual provider · Type 1 NPI

Tamara L. Clark, PA-C

Medical Physician Assistant · Lincoln, NE

NPI number 1598772147 Active

Practice location

6050 Village Dr
Lincoln, NE 68516-4714

Fax (402) 421-8594

Mailing address

8055 O St, Ste 300
Lincoln, NE 68510-2580

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1170 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1598772147

Tamara L. Clark, PA-C's National Provider Identifier is 1598772147, issued on Aug 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Apr 7, 2021.