Individual
ALEXIS NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11483 ARIZONA AVE, RIVERSIDE, CA 92503-5817
(714) 932-5273
Mailing address
11483 ARIZONA AVE, RIVERSIDE, CA 92503-5817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95039418
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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