person
Julianne Alyssa Clark, ARNP
Pediatric Nurse Practitioner in Shawnee, Oklahoma
NPI 1417253170

Julianne Alyssa Clark is a Pediatric Nurse Practitioner based in Shawnee, OK and is specialized in Pediatrics. Julianne Alyssa Clark practices in Shawnee, OK and has the professional credentials of ARNP. The NPI Number for Julianne Alyssa Clark is 1417253170 and holds a License No. 61442 (Oklahoma).

The current practice location address for Julianne Alyssa Clark is 3315 Kethley Rd, Shawnee, OK and can be reached out via phone at 405-273-5801 and via fax at 405-878-3814. You can also correspond with Julianne Alyssa Clark through the mailing address at PO BOX 849, SHAWNEE, OK - 74802-0849 (mailing address contact number: 405-273-5801).

Location: 3315 Kethley Rd, Shawnee, OK, 74802-0849
person
Provider Profile Details
NPI Number
1417253170
Provider Name
Julianne Alyssa Clark
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
3315 Kethley Rd, Shawnee, OK, 74802-0849
Phone Number
405-273-5801
Fax Number
405-878-3814
Provider Enumeration Date
01/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61442 01 OK OK LICENSE
institution
Provider Business Practice Location Address Details
Address
3315 Kethley Rd
City
State
Zip
74804-9638
Phone Number
405-273-5801
Fax Number
405-878-3814
person
Provider Business Mailing Address Details
Address
Po Box 849
City
State
Zip
74802-0849
Phone Number
405-273-5801
Fax Number
405-878-3814
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
61442 (Oklahoma)
Definition
Definition to come...
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