Individual
ANGELA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
427 US 31W BYP, BOWLING GREEN, KY 42101-1703
(270) 467-1701
(270) 467-1770
Mailing address
427 US 31W BYP, BOWLING GREEN, KY 42101-1703
(270) 467-1701
(270) 467-1770
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3011302
KY
Other
Enumeration date
05/11/2017
Last updated
03/14/2025
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