# NORTON CLARK PHYSICIAN PRACTICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark Memorial Clinic Connection
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902323009
- **Authorized official:** SHELLEY GAST (VP MANAGED CARE)
- **Authorized official phone:** (502) 272-5335

## Contact information

- **Practice address:** 2021 MERCY WAY, STE 102, JEFFERSONVILLE, IN 47130
- **Practice address phone:** (812) 252-0258
- **Practice address fax:** (812) 252-0315
- **Mailing address:** 4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 11/07/2023