Individual
PAULA EILEEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
655 US HIGHWAY 31 S, GREENWOOD, IN 46142-3061
(317) 430-3339
Mailing address
220 CAMPBELL RD, GREENWOOD, IN 46143-8855
(317) 414-7342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000670A
IN
Other
Enumeration date
06/12/2006
Last updated
03/11/2016
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