Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHANIEL CLARK, P.A.
ActiveNATHANIEL CLARK, P.A. is a Physician Assistant healthcare provider located in CARBONDALE, Illinois. NPI 1063660074 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CARBONDALE, IL
Registration Details
- NPI Number
- 1063660074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2008 (17.937363830366 yrs)
- Last Updated
- Dec 21, 2022
- Licenses
-
085-003278 (IL)085003278 (IL)
Practice Information
- Address
-
409 W OAK STCARBONDALE, IL, 629011464Browse IL providers · Browse ZIP 62901
- Phone
- 6185294455
- Fax
- 6183511287
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARCIA KATE SCOTT | PA-C | 1801859384 |
| MICHAEL ANTHONY BRYANT | PA-C | 1871542811 |
| ISAAC A ROBERG | PA | 1447297676 |
| PATRICIA A BOUDET | PA | 1841237120 |
| MELODY HOF | PA-C | 1356379945 |
| DIANA B MORELAND | PA-C | 1467480905 |
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.