Individual provider · Type 1 NPI

Lynn Marie Clark, MS, RN, C, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1972686855 Active

Practice location

1935 Motor St, E05.505.Y
Dallas, TX 75235-7701

Mailing address

7216 Valley Bend Way
Plano, TX 75024-3483

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X618012 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1972686855

Lynn Marie Clark, MS, RN, C, CPNP's National Provider Identifier is 1972686855, issued on Oct 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.