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:
Health care specialties
Specialty | Code | License # | 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 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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