Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANN CLARK, RN
Active Sole ProprietorJOANN CLARK, RN is a Pediatric Nurse healthcare provider located in FT WORTH, Texas. NPI 1619478112 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · FT WORTH, TX
Registration Details
- NPI Number
- 1619478112
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2018 (8.5054248158682 yrs)
- Last Updated
- Feb 21, 2018
- License
-
714003 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1314 LAKE STFT WORTH, TX, 761024581Browse TX providers · Browse ZIP 76102
- Phone
- 8178100660
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Other Pediatric Nurse Providers in FT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. THERESA ANN FUGATE | RN, BSN,SANE-P | 1801607429 |
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.