Individual
MS. BONNIE LOU CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
131 E COURT AVE STE 101, JEFFERSONVILLE, IN 47130-3600
(502) 208-1357
(812) 248-3388
Mailing address
3018 PLANTATION DR, SELLERSBURG, IN 47172-9174
(502) 208-1357
(812) 248-3388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71003710A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71003710A
IN
Other
Enumeration date
09/22/2011
Last updated
04/03/2026
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