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Tara L Clark
Psychiatric/Mental Health Nurse Practitioner in Ashland, Kentucky
NPI 1871259028

Tara L Clark is a Psychiatric/Mental Health Nurse Practitioner based in Ashland, KY and is specialized in Psychiatric/Mental Health. Tara L Clark practices in Ashland, KY. The NPI Number for Tara L Clark is 1871259028 and holds a License No. 3016776 (Kentucky).

The current practice location address for Tara L Clark is 2201 Lexington Ave, Ashland, KY and can be reached out via phone at 606-408-4000.

Location: 2201 Lexington Ave, Ashland, KY, 41105-2379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871259028
Provider Name
Tara L Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2201 Lexington Ave, Ashland, KY, 41105-2379
Phone Number
606-408-4000
Fax Number
Provider Enumeration Date
11/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 Lexington Ave
City
Ashland
State
Kentucky
Zip
41101-2843
Phone Number
606-408-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2201 Lexington Ave
City
Ashland
State
Kentucky
Zip
41101-2843
Phone Number
606-408-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
3016776 (Kentucky)
Definition
Definition to come...
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