Individual
ANN L CLARK-WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
205 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
Mailing address
949 41ST AVE N, ST PETERSBURG, FL 33703-4527
(727) 528-1066
(727) 528-1066
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP 9236081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62156
PRESCRIBER NUMBER
MD
Enumeration date
04/17/2008
Last updated
01/11/2013
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