Individual
HALLIE J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1204 WILLIAMS ST, OAKLAND CITY, IN 47660-1001
(812) 749-6187
(812) 749-4966
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28198172A
IN
363L00000X
Nurse Practitioner
Primary
71010836A
IN
Other
Enumeration date
01/21/2021
Last updated
02/17/2021
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