person
Krysta Ann Clark, NP
General Practice Registered Nurse in Lakeland, Florida
NPI 1366094914

Krysta Ann Clark is a General Practice Registered Nurse based in Clearwater, FL and is specialized in General Practice. Krysta Ann Clark practices in Lakeland, FL and has the professional credentials of NP. The NPI Number for Krysta Ann Clark is 1366094914 and holds a License No. APRN11018536 (Florida).

The current practice location address for Krysta Ann Clark is 619 Midflorida Dr, Lakeland, FL and can be reached out via phone at 863-701-7188 and via fax at 863-701-2014.

Location: 619 Midflorida Dr, Lakeland, FL, 33759-3012
person
Provider Profile Details
NPI Number
1366094914
Provider Name
Krysta Ann Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
619 Midflorida Dr, Lakeland, FL, 33759-3012
Phone Number
863-701-7188
Fax Number
863-701-2014
Provider Enumeration Date
07/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 Midflorida Dr
City
State
Zip
33813-4916
Phone Number
863-701-7188
Fax Number
863-701-2014
person
Provider Business Mailing Address Details
Address
619 Midflorida Dr
City
State
Zip
33813-4916
Phone Number
863-701-7188
Fax Number
863-701-2014
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
544669 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN11018536 (Florida)
Definition
Definition to come...
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