Individual
KAREN BETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3900 STONERIDGE LN, DUBLIN, OH 43017-2288
(614) 366-3257
(614) 688-3700
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2594
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
262647
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065511
—
OH
Enumeration date
06/04/2007
Last updated
10/08/2012
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