person
Ms. Joan Marie Clark, ANP
Adult Health Nurse Practitioner in Saint Louis, Missouri
NPI 1710969498

Joan Marie Clark is an Adult Health Nurse Practitioner based in Saint Louis, MO and is specialized in Adult Health. Joan Marie Clark practices in Saint Louis, MO and has the professional credentials of ANP. The NPI Number for Joan Marie Clark is 1710969498 and holds a License No. 2816742621 (Missouri).

The current practice location address for Joan Marie Clark is 6400 Clayton Rd Ste 302, Saint Louis, MO and can be reached out via phone at 314-645-3370 and via fax at 314-645-0576.

Location: 6400 Clayton Rd Ste 302, Saint Louis, MO, 63195-1019
person
Provider Profile Details
NPI Number
1710969498
Provider Name
Joan Marie Clark
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
6400 Clayton Rd Ste 302, Saint Louis, MO, 63195-1019
Phone Number
314-645-3370
Fax Number
314-645-0576
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060065 01 MO EXCLUSIVE CHOICE
213137 01 MO BLUE CHOICE
500005275 01 MO RAILROAD MEDICARE
428933303 05 MO
072280 01 PROVIDER NUMBER
534842 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
6400 Clayton Rd Ste 302
City
State
Zip
63117-1850
Phone Number
314-645-3370
Fax Number
314-645-0576
person
Provider Business Mailing Address Details
Address
6400 Clayton Rd Ste 302
City
State
Zip
63117-1850
Phone Number
314-645-3370
Fax Number
314-645-0576
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2816742621 (Missouri)
Definition
Definition to come...
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