Individual
TERESA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-1000
(870) 936-5057
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-1000
(870) 936-5057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004707
AR
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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