Individual
MANDY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
Mailing address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 409-6330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A006213
AR
Other
Enumeration date
10/28/2020
Last updated
12/06/2023
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