Clark, Jo Ann

Clark, Jo Ann is an individual health care provider with primary practice located at 104 Hospital Drive , Magnolia AR 71753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Jo Ann can be contacted via phone (870) 235-3555.

Contact Information

Primary practice address
104 Hospital Drive Magnolia AR 71753
Phone: (870) 235-3555
Fax: (870) 562-2560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A01754 Arkansas

Profile Details

NPI number 1356378673
LBN Legal business name Clark, Jo Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 27th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356378673 NPPES
Arkansas MEDICAID 157033758

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