person
Tamika Clark, NP
Family Nurse Practitioner in Kansas City, Missouri
NPI 1730623141

Tamika Clark is a Family Nurse Practitioner based in Kansas City, MO and is specialized in Family. Tamika Clark practices in Kansas City, MO and has the professional credentials of NP. The NPI Number for Tamika Clark is 1730623141 and holds a License No. 2016041521 (Missouri).

The current practice location address for Tamika Clark is 2811 Vine St, Kansas City, MO and can be reached out via phone at 816-405-0386 and via fax at 510-319-8402.

Location: 2811 Vine St, Kansas City, MO, 64109-1339
person
Provider Profile Details
NPI Number
1730623141
Provider Name
Tamika Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2811 Vine St, Kansas City, MO, 64109-1339
Phone Number
816-405-0386
Fax Number
510-319-8402
Provider Enumeration Date
12/05/2016
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730623141 05 MO
201153460C 05 KS
institution
Provider Business Practice Location Address Details
Address
2811 Vine St
City
State
Zip
64109-1339
Phone Number
816-405-0386
Fax Number
510-319-8402
person
Provider Business Mailing Address Details
Address
2811 Vine St
City
State
Zip
64109-1339
Phone Number
816-405-0386
Fax Number
510-319-8402
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2016041521 (Missouri)
Definition
Definition to come...
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