person
Alicia H Clark, APRN
Family Nurse Practitioner in Marion, Kentucky
NPI 1801898440

Alicia H Clark is a Family Nurse Practitioner based in Marion, KY and is specialized in Family. Alicia H Clark practices in Marion, KY and has the professional credentials of APRN. The NPI Number for Alicia H Clark is 1801898440 and holds a License No. 3004261 (Kentucky).

The current practice location address for Alicia H Clark is 518 West Gum Street, Marion, KY and can be reached out via phone at 270-965-5238 and via fax at 270-965-9015.

Location: 518 West Gum Street, Marion, KY, 42064-0559
person
Provider Profile Details
NPI Number
1801898440
Provider Name
Alicia H Clark
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
518 West Gum Street, Marion, KY, 42064-0559
Phone Number
270-965-5238
Fax Number
270-965-9015
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000324690 01 ANTHEM BCBS
78011640 05 KY
P00140734 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
518 West Gum Street
City
State
Zip
42064-1516
Phone Number
270-965-5238
Fax Number
270-965-9015
person
Provider Business Mailing Address Details
Address
518 West Gum Street
City
State
Zip
42064-1516
Phone Number
270-965-5238
Fax Number
270-965-9015
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3004261 (Kentucky)
Definition
Definition to come...
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