MRS. JO ANN CLARK APRN NPI 1356378673

NPI Information

  • NPI: 1356378673
  • Provider Name: MRS. JO ANN CLARK, APRN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 104 HOSPITAL DRIVE
    MAGNOLIA, AR
    ZIP 71753
  • Phone: (870) 235-3555

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NPI Details

MRS. Jo Ann Clark, APRN is a pediatrics nurse practitioner in Magnolia, AR. MRS. Jo Ann Clark, APRN NPI is 1356378673. 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:

104 HOSPITAL DRIVE
MAGNOLIA, AR
ZIP 71753
Phone: (870) 235-3555
Fax: (870) 562-2560

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsA01754ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1157033758MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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