Organization
SHARI A. CLARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHARIA ANN CLARK ARNP (OWNER)
(727) 687-7076
Entity
Organization
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 865-1275
Mailing address
6135 30TH CT S, ST PETERSBURG, FL 33712-4578
(727) 865-1275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3023802
FL
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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