Individual
MRS. FRANCES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN MSN FNP CS
Contact information
Practice address
11920 W STATE RD 10, DEMOTTE, IN 46310
(219) 345-5151
(219) 345-5252
Mailing address
11920 W STATE RD 10, DEMOTTE, IN 46310
(219) 345-5151
(219) 345-5252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000776A
IN
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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