Individual
DEONNA MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6500 ROOKIN ST, SUITE 200, HOUSTON, TX 77074-5019
(832) 548-5000
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5076
(713) 523-4897
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
661103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
01
—
661103
TX STATE BOARD OF NURSING APN LICENSURE
—
Enumeration date
12/22/2011
Last updated
02/10/2022
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