Individual
BEVERLY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
803 WEST MAIN STREET, MOUNTAIN VIEW, AR 72560
(870) 269-9800
Mailing address
PO BOX 1668, MOUNTAIN VIEW, AR 72560-1668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004508
AR
Other
Enumeration date
09/30/2015
Last updated
02/15/2016
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