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Individual
MS. CAROL A CLARK
Active
Individual
MS. CAROL A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
16181
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
016181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024313
—
TN
Enumeration date
08/11/2006
Last updated
04/27/2023
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