Individual
MELINDA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 W COLUMBIA ST, STE 350, EVANSVILLE, IN 47710-5610
(812) 450-7700
(812) 450-7705
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7700
(812) 450-7705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005040A
IN
Other
Enumeration date
06/27/2014
Last updated
08/21/2014
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