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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXIS MIKAYLA CLARK, PA-C

Active

ALEXIS MIKAYLA CLARK, PA-C is a Physician Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1053919563 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FAYETTEVILLE, AR

Registration Details

NPI Number
1053919563
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2020 (5.8296041221241 yrs)
Last Updated
Feb 10, 2025
License
PA-943 (AR)

Practice Information

Address
1438 E AUGUSTINE LN STE 2
FAYETTEVILLE, AR, 727035462
Browse AR providers · Browse ZIP 72703
Phone
4793355777
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FAYETTEVILLE, AR

Name Credential NPI
ANDREA L THOMPSON PA-C 1508861865
MR. JOSHUA F MATTHEWS PA-C 1194720169
MS. ROBIN R HAYWARD PA-C 1558357806
KEVIN L EASTEP PA 1285662791
CANDACE JEWEL HARPER PAC 1326078957
KRISTY KELLER WALKER PA-C 1164534491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.