Annie Clark
NPI #1629802772 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1629802772
- Entity Type
- Individual
- Name
- Annie Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 30, 2024
- Last Updated
- Jan 26, 2025
Practice Location
- Address
- 108 W TYLER AVE
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-4221
- Phone
- (870) 732-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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