HEATHER CLARK APRN PMHNP-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1679308423- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN PMHNP-BC
- Status
- Active
Contact & Location
- Address
- 506 N MAIN ST, NICHOLASVILLE, KY, 403561134
- Phone
- (866) 934-7450
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: KY #4026229
Registered Nurse
License: KY #1137394
All Addresses
MAILING
4600 MONTGOMERY RD STE 400
CINCINNATI, OH, 452122600