Individual provider · Type 1 NPI

Carol Clark, CNP

Family Nurse Practitioner · Indianapolis, IN

NPI number 1770535502 Active

Practice location

9015 E 17th St
Indianapolis, IN 46229-2016

Fax (317) 898-4219

Specialties and licenses

TaxonomyCodeLicense
Community Health Nurse Practitioner 363LC1500X71000959A (IN)
Family Nurse Practitioner Primary 363LF0000X71000959A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1770535502

Carol Clark, CNP's National Provider Identifier is 1770535502, issued on May 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on May 2, 2012.