Clark, Amy Wilson

Clark, Amy Wilson is an individual health care provider with primary practice located at 1718 E 4Th St Suite 601, Charlotte NC 28204-3261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Amy Wilson can be contacted via phone (704) 384-1246.

Contact Information

Primary practice address
1718 E 4Th St Suite 601 Charlotte NC 28204-3261
Phone: (704) 384-1246
Fax: (704) 384-1249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 950019 North Carolina

Profile Details

NPI number 1285704544
LBN Legal business name Clark, Amy Wilson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jan 27th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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