Individual
BERNADETTE E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2708 GUILFORD ST, HUNTINGTON, IN 46750-9701
(260) 355-3900
(260) 355-3079
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006149A
IN
Other
Enumeration date
03/08/2016
Last updated
10/08/2022
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