Clark, Kristina

Clark, Kristina is an sole proprietor health care provider with primary practice located at 625 19Th St S Jt 807, Birmingham AL 35249-6810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Kristina can be contacted via phone (205) 934-4696.

Contact Information

Primary practice address
625 19Th St S Jt 807 Birmingham AL 35249-6810
Phone: (205) 934-4696
Fax: (205) 934-9118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-116388 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-116388 Alabama

Profile Details

NPI number 1598140147
LBN Legal business name Clark, Kristina
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Jul 24th, 2015 - about 10 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.

Request for update

Popular Providers