Individual
AMANDA LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1948 N LIMESTONE ST, SPRINGFIELD, OH 45503-2648
(866) 653-4263
(800) 480-7578
Mailing address
215 GOLDEN GATE AVE, SPRINGFIELD, OH 45505-1562
(513) 504-4280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.473670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012309
—
OH
Enumeration date
11/04/2022
Last updated
09/30/2025
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