Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIANNE ALYSSA CLARK, ARNP
ActiveJULIANNE ALYSSA CLARK, ARNP is a Pediatric Nurse Practitioner healthcare provider located in SHAWNEE, Oklahoma. NPI 1417253170 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · SHAWNEE, OK
Registration Details
- NPI Number
- 1417253170
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2011 (15.356312567687 yrs)
- Last Updated
- Aug 29, 2012
- License
-
61442 (OK)
Practice Information
- Address
-
3315 KETHLEY RDSHAWNEE, OK, 748049638Browse OK providers · Browse ZIP 74804
- Phone
- 4052735801
- Fax
- 4058783814
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.