Individual provider · Type 1 NPI

Susan D. Clark, NP-C

Family Nurse Practitioner · Liberty, TX

NPI number 1770964991 Active

Practice location

1353 N Travis St
Liberty, TX 77575-3549

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP128323 (TX)

Family Nurse Practitioner: Definition to come...

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Lisa Gaile Odom, APRN-BCFamily Nurse Practitioner Liberty, TX NPI 1992988539
Michael Edwin MuldrowPhysical Therapy Assistant Liberty, TX NPI 1760211486
Shelly Margaret States, P.AMedical Physician Assistant Liberty, TX NPI 1407094667

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About NPI 1770964991

Susan D. Clark, NP-C's National Provider Identifier is 1770964991, issued on Jun 12, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Liberty, TX. The record was last updated on Jun 12, 2015.