Crystal S Clark

NPI #1427557321 in Monticello, Illinois

Provider Information

NPI Number: 1427557321
Entity Type: Individual
Name: Crystal S Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 6, 2018
Last Updated: Mar 26, 2019

Practice Location

Address: 1000 MEDICAL CENTER DR
City: Monticello
State: Illinois
ZIP Code: 61856-2116
Phone: (217) 762-6241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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