Individual
MRS. ELIZABETH ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1500 DODSON AVE, SUITE 60, FORT SMITH, AR 72901-5182
(479) 709-7325
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004327
AR
Other
Enumeration date
01/24/2015
Last updated
11/23/2016
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