Individual provider · Type 1 NPI

Michael James Clark, FNP

Family Nurse Practitioner · Utica, KY

NPI number 1922718550 Active

Practice location

6469 US Highway 231
Utica, KY 42376-9018

Call (270) 993-6825 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3017548 (KY)

Family Nurse Practitioner: Definition to come...

About NPI 1922718550

Michael James Clark, FNP's National Provider Identifier is 1922718550, issued on Dec 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Utica, KY. The record was last updated on Dec 5, 2022.