Jo Ann Clark is a Pediatrics in Magnolia, Arkansas. Jo Ann Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jo Ann Clark is 1356378673. The last update date is 2022-04-27.
Jo Ann Clark's current location address is Po Box 629, Magnolia, Arkansas. You can contact this provider via phone number 8702353555 and fax number 8705622560. The mailing address for Jo Ann Clark is Po Box 629, Magnolia, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Ann Clark |
|---|---|
| Address | Po Box 629, Magnolia, Arkansas |
| Phone Number | 8702353555 |
| Fax Number | 8705622560 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1356378673 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2022-04-27 |
Provider Mailing Address Detail
| Address | Po Box 629 |
|---|---|
| City | Magnolia |
| State | Arkansas (AR) |
| Post Code | 71754 |
| Phone Number | 8702353555 |
| Fax Number | 8705622560 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | A01754 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157033758 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jo Ann Clark by the Centers for Medicare & Medicaid Services?
The Jo Ann Clark has been assigned the NPI (National Provider Identifier) 1356378673. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jo Ann Clark is physically located?
The Jo Ann Clark is physically situated at the following address: Po Box 629, Magnolia, AR, 71754.
What is Jo Ann Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jo Ann Clark's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date was the 1356378673 assigned to Jo Ann Clark?
The Jo Ann Clark was issued its 1356378673 on 2006-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jo Ann Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jo Ann Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-27.