Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTY NICOLE CLARK, CRNP
Active Sole ProprietorKRISTY NICOLE CLARK, CRNP is a Family Nurse Practitioner healthcare provider located in SHINGLEHOUSE, Pennsylvania. NPI 1699317578 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SHINGLEHOUSE, PA
Registration Details
- NPI Number
- 1699317578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2019 (6.8415346513276 yrs)
- Last Updated
- Oct 11, 2021
- License
-
SP020957 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 N PURITAN STREETSHINGLEHOUSE, PA, 16748Browse PA providers · Browse ZIP 16748
- Phone
- 8142609352
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.