Individual
ABIGAIL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 485-6865
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(614) 404-0613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.519532
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0036974
OH
Other
Enumeration date
01/12/2024
Last updated
04/10/2026
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