Mary Suann Clark Valid NPI

Individual provider · Family Nurse Practitioner · Killeen, TX

NPI

1255004271

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1048104 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2021-07-26

Last updated

2023-01-03