Clark, Mandy

Clark, Mandy is an individual health care provider with primary practice located at 614 E Emma Ave Ste 300 , Springdale AR 72764-4469. 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, Mandy can be contacted via phone (479) 751-7417.

Contact Information

Primary practice address
614 E Emma Ave Ste 300 Springdale AR 72764-4469
Phone: (479) 751-7417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A006213 Arkansas

Profile Details

NPI number 1104426261
LBN Legal business name Clark, Mandy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Dec 6th, 2023 - about last year

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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