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Mr. Nathan Blaine Clark, APRN
Family Nurse Practitioner in Murray, Kentucky
NPI 1578853883

Nathan Blaine Clark is a Family Nurse Practitioner based in Murray, KY and is specialized in Family. Nathan Blaine Clark practices in Murray, KY and has the professional credentials of APRN. The NPI Number for Nathan Blaine Clark is 1578853883 and holds a License No. 3006900 (Kentucky).

The current practice location address for Nathan Blaine Clark is 400 Industrial Road, Murray, KY and can be reached out via phone at 270-761-9355 and via fax at 270-761-9356.

Location: 400 Industrial Road, Murray, KY, 42071-4700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578853883
Provider Name
Nathan Blaine Clark
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
400 Industrial Road, Murray, KY, 42071-4700
Phone Number
270-761-9355
Fax Number
270-761-9356
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3006900 01 KY ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
400 Industrial Road
City
Murray
State
Kentucky
Zip
42071
Phone Number
270-761-9355
Fax Number
270-761-9356
person
Provider Business Mailing Address Details
Address
400 Industrial Road
City
Murray
State
Kentucky
Zip
42071
Phone Number
270-761-9355
Fax Number
270-761-9356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3006900 (Kentucky)
Definition
Definition to come...
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