Charlene Clark, FNP
NPI #1144621756 in Mountain Home, Idaho
Provider Information
- NPI Number
- 1144621756
- Entity Type
- Individual
- Name
- Charlene Clark, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Sep 15, 2014
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 120 DESERT SAGE WAY
- City
- Mountain Home
- State
- Idaho
- ZIP Code
- 83647-1038
- Phone
- (208) 587-3988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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