Individual
MELISSA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 472-5067
Mailing address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28188376A
IN
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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