Active NPIIndividual provider

Mrs. Elizabeth A Clark, APN

Nurse Practitioner, Family in Fort Smith, Arkansas

NPI Number1730579152
Practice location
1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182
Fax
—
Last updated
November 23, 2016

Elizabeth Ann Clark is a Nurse Practitioner, Family based in Fort Smith, AR. Elizabeth Ann Clark practices in Fort Smith, AR and has the professional credentials of APN. The NPI Number for Elizabeth Ann Clark is 1730579152 and holds a License No. A004327 (AR). The current practice location address for Elizabeth Ann Clark is 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182 and can be reached out via phone at 479-709-7325.

Provider Profile Details

NPI Number
1730579152
Provider Name
Elizabeth Ann Clark
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182
Phone Number
479-709-7325
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2015
Last Update Date
November 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Dodson Ave
Suite 60
Fort Smith, AR 72901-5182
Zip
72901-5182
Phone Number
479-709-7325
Fort Smith, AR 72901Get directions →

Provider Business Mailing Address Details

Address
Po Box 11449
Belfast, ME 04915-4005
City
Belfast
State
ME
Zip
04915-4005
Phone Number
479-709-1924
Fax Number
479-709-7499

License Information

License Number
A004327
License State
AR
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Elizabeth A Clark, APN?

The NPI number of Mrs. Elizabeth A Clark, APN is 1730579152. It was assigned on January 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elizabeth A Clark, APN?

Mrs. Elizabeth A Clark, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in AR under license number A004327.

Where does Mrs. Elizabeth A Clark, APN practice?

The practice location is 1500 Dodson Ave, Suite 60, Fort Smith, AR 72901-5182. The office can be reached at 479-709-7325 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730579152 directly on the NPPES registry website.

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