Timetra Diane Clark, FNP-BC is a family nurse practitioner in Chicago, IL. Timetra Diane Clark, FNP-BC NPI is 1316687650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1401 E 55TH ST APT 905N
CHICAGO, IL
ZIP 60615-468
Phone: (708) 759-3112
The NPI 1316687650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/1/2022 and was last updated on 4/1/2022.