Individual
MRS. JANICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
507 S 4TH ST, CLINTON, IA 52732-4532
(563) 241-4000
(563) 241-4004
Mailing address
507 S 4TH ST, CLINTON, IA 52732-4532
(563) 241-4000
(563) 241-4004
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F065159
IA
Other
Enumeration date
11/03/2006
Last updated
01/14/2011
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