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Kristy Nicole Clark, CRNP
Family Nurse Practitioner in Shinglehouse, Pennsylvania
NPI 1699317578

Kristy Nicole Clark is a Family Nurse Practitioner based in Coudersport, PA and is specialized in Family. Kristy Nicole Clark practices in Shinglehouse, PA and has the professional credentials of CRNP. The NPI Number for Kristy Nicole Clark is 1699317578 and holds a License No. SP020957 (Pennsylvania).

The current practice location address for Kristy Nicole Clark is 129 N Puritan Street, Shinglehouse, PA and can be reached out via phone at 814-260-9352.

Location: 129 N Puritan Street, Shinglehouse, PA, 16915-8161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699317578
Provider Name
Kristy Nicole Clark
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
129 N Puritan Street, Shinglehouse, PA, 16915-8161
Phone Number
814-260-9352
Fax Number
Provider Enumeration Date
10/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
129 N Puritan Street
City
Shinglehouse
State
Pennsylvania
Zip
16748
Phone Number
814-260-9352
Fax Number
person
Provider Business Mailing Address Details
Address
129 N Puritan Street
City
Shinglehouse
State
Pennsylvania
Zip
16748
Phone Number
814-260-9352
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP020957 (Pennsylvania)
Definition
Definition to come...
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