Individual
MRS. ANDREA DAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2500 W WILLIAM CANNON DR STE 301, AUSTIN, TX 78745-5289
(512) 250-9202
Mailing address
2500 W WILLIAM CANNON DR STE 301, AUSTIN, TX 78745-5289
(512) 250-9202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1141110
TX
363LF0000X
Family Nurse Practitioner
Primary
1972375194
TX
363LF0000X
Family Nurse Practitioner
Primary
F09231314
TX
Other
Enumeration date
10/23/2023
Last updated
07/23/2026
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