Individual
NICHOLE DEANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
145 SHAKERAG ROAD, CLINTON, AR 72031-6657
(501) 745-7161
(501) 745-8714
Mailing address
PO BOX 1333, CLINTON, AR 72031
(501) 745-7161
(501) 745-8714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01919
AR
Other
Enumeration date
06/12/2007
Last updated
11/04/2011
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