person
Elizabeth J Clark, APRN
Family Nurse Practitioner in Irvine, Kentucky
NPI 1215168349

Elizabeth J Clark is a Family Nurse Practitioner based in Irvine, KY and is specialized in Family. Elizabeth J Clark practices in Irvine, KY and has the professional credentials of APRN. The NPI Number for Elizabeth J Clark is 1215168349 and holds a License No. 3006121 (Kentucky).

The current practice location address for Elizabeth J Clark is 275 Court St, Irvine, KY and can be reached out via phone at 606-723-2167 and via fax at 606-723-2112.

Location: 275 Court St, Irvine, KY, 40336-1089
person
Provider Profile Details
NPI Number
1215168349
Provider Name
Elizabeth J Clark
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
275 Court St, Irvine, KY, 40336-1089
Phone Number
606-723-2167
Fax Number
606-723-2112
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100085240 05 KY
1056565 01 KY RN LICENSE NUMBER
3006121 01 KY ARNP LICENSE #
institution
Provider Business Practice Location Address Details
Address
275 Court St
City
State
Zip
40336-1089
Phone Number
606-723-2167
Fax Number
606-723-2112
person
Provider Business Mailing Address Details
Address
275 Court St
City
State
Zip
40336-1089
Phone Number
606-723-2167
Fax Number
606-723-2112
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3006121 (Kentucky)
Definition
Definition to come...
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