Individual provider · Type 1 NPI

Kerry A. Clark, NP

Family Nurse Practitioner · Providence, RI

NPI number 1861436362 Active

Practice location

2 Dudley St, Ste 200
Providence, RI 02905-3236

Mailing address

PO Box 1119
Providence, RI 02901-1119

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN00233 (RI)

Family Nurse Practitioner: Definition to come...

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About NPI 1861436362

Kerry A. Clark, NP's National Provider Identifier is 1861436362, issued on Jun 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Mar 17, 2022.