Individual
MRS. JANET M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3990
(816) 404-3966
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420634909
—
MO
Enumeration date
03/08/2007
Last updated
11/10/2020
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