Individual provider · Type 1 NPI

Elise N. Clark, FNP

Family Nurse Practitioner · Dallas, TX

NPI number 1962885145 Active

Practice location

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP128458 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1962885145

Elise N. Clark, FNP's National Provider Identifier is 1962885145, issued on Jul 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Oct 21, 2024.