Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL S CLARK
ActiveCRYSTAL S CLARK is a Nurse Practitioner healthcare provider located in MONTICELLO, Illinois. NPI 1427557321 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MONTICELLO, IL
Registration Details
- NPI Number
- 1427557321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2018 (8.4892089479803 yrs)
- Last Updated
- Mar 26, 2019
- License
-
209017069 (IL)
Practice Information
- Address
-
1000 MEDICAL CENTER DRMONTICELLO, IL, 618562116Browse IL providers · Browse ZIP 61856
- Phone
- 2177626241
- Fax
- 2177621702
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in MONTICELLO, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTY BARRE | NP | 1659451235 |
| SANTIA FITZPATRICK | — | 1710343330 |
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.