Individual
WHITNEY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
319 GASLIGHT BLVD, LUFKIN, TX 75904-3124
(936) 634-3713
Mailing address
440 GUY YORK RD, LUFKIN, TX 75901-1777
(936) 581-6029
(936) 634-8136
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP143273
TX
Other
Enumeration date
10/04/2019
Last updated
11/27/2023
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