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Haley Michelle Clark, FNP
Family Nurse Practitioner in Bridgeton, Missouri
NPI 1295512366

Haley Michelle Clark is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Haley Michelle Clark practices in Bridgeton, MO and has the professional credentials of FNP. The NPI Number for Haley Michelle Clark is 1295512366 and holds a License No. 2023035149 (Missouri).

The current practice location address for Haley Michelle Clark is 12277 De Paul Dr Ste 402, Bridgeton, MO and can be reached out via phone at 314-291-2140.

Location: 12277 De Paul Dr Ste 402, Bridgeton, MO, 63123-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295512366
Provider Name
Haley Michelle Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
12277 De Paul Dr Ste 402, Bridgeton, MO, 63123-1930
Phone Number
314-291-2140
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12277 De Paul Dr Ste 402
City
Bridgeton
State
Missouri
Zip
63044-2536
Phone Number
314-291-2140
Fax Number
person
Provider Business Mailing Address Details
Address
12277 De Paul Dr Ste 402
City
Bridgeton
State
Missouri
Zip
63044-2536
Phone Number
314-291-2140
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2023035149 (Missouri)
Definition
Definition to come...
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