Clark, Elizabeth Ann

Clark, Elizabeth Ann is an individual health care provider with primary practice located at 1325 Pennsylvania Ave #740, Fort Worth TX 76104-2158. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Clark, Elizabeth Ann can be contacted via phone (817) 250-2892.

Contact Information

Primary practice address
1325 Pennsylvania Ave #740 Fort Worth TX 76104-2158
Phone: (817) 250-2892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 505735 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X CNP-02165 New Mexico

Profile Details

NPI number 1750346847
LBN Legal business name Clark, Elizabeth Ann
Credentials RNC MSN NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 3rd, 2013 - about 11 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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