Individual
AMY KEILLER CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1301 BARBARA JORDAN BLVD, STE 200, AUSTIN, TX 78723-3077
(512) 628-1850
Mailing address
1301 BARBARA JORDAN BLVD, STE 200, AUSTIN, TX 78723-3077
(512) 628-1800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359678501
—
TX
05
—
359678502
—
TX
Enumeration date
01/04/2016
Last updated
11/05/2020
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