person
Summer Michele Clark, ACNP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1518277961

Summer Michele Clark is a Pediatric Nurse Practitioner based in Fort Worth, TX and is specialized in Pediatrics. Summer Michele Clark practices in Fort Worth, TX and has the professional credentials of ACNP. The NPI Number for Summer Michele Clark is 1518277961 and holds a License No. 724311 (Texas).

The current practice location address for Summer Michele Clark is 1500 Cooper St, Fort Worth, TX and can be reached out via phone at 682-885-4405 and via fax at 682-885-4407. You can also correspond with Summer Michele Clark through the mailing address at PO BOX 99371, FORT WORTH, TX - 76199-0371 (mailing address contact number: 682-885-1855).

Location: 1500 Cooper St, Fort Worth, TX, 76199-0371
person
Provider Profile Details
NPI Number
1518277961
Provider Name
Summer Michele Clark
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
1500 Cooper St, Fort Worth, TX, 76199-0371
Phone Number
682-885-4405
Fax Number
682-885-4407
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Cooper St
City
State
Zip
76104-2710
Phone Number
682-885-4405
Fax Number
682-885-4407
person
Provider Business Mailing Address Details
Address
Po Box 99371
City
State
Zip
76199-0371
Phone Number
682-885-1855
Fax Number
682-885-7345
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
724311 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
724311 (Texas)
Definition
Definition to come...
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