person
Mrs. Theresa Ann Clark, FNP-BC
Family Nurse Practitioner in Middlebury, Indiana
NPI 1548893506

Theresa Ann Clark is a Family Nurse Practitioner based in Walkerton, IN and is specialized in Family. Theresa Ann Clark practices in Middlebury, IN and has the professional credentials of FNP-BC. The NPI Number for Theresa Ann Clark is 1548893506 and holds a License No. 28108427A (Indiana).

The current practice location address for Theresa Ann Clark is 420 N Main St, Middlebury, IN and can be reached out via phone at 574-825-3400. You can also correspond with Theresa Ann Clark through the mailing address at 69014 TAMARACK RD, WALKERTON, IN - 46574-9735 (mailing address contact number: ).

Location: 420 N Main St, Middlebury, IN, 46574-9735
person
Provider Profile Details
NPI Number
1548893506
Provider Name
Theresa Ann Clark
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
420 N Main St, Middlebury, IN, 46574-9735
Phone Number
574-825-3400
Fax Number
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 N Main St
City
State
Zip
46540-8985
Phone Number
574-825-3400
Fax Number
person
Provider Business Mailing Address Details
Address
69014 Tamarack Rd
City
State
Zip
46574-9735
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28108427A (Indiana)
Definition
Definition to come...
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