ALICIA H CLARK APRN NPI 1801898440

NPI Information

  • NPI: 1801898440
  • Provider Name: ALICIA H CLARK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 518 WEST GUM STREET
    MARION, KY
    ZIP 42064
  • Phone: (270) 965-5238

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NPI Details

Alicia H Clark, APRN is a family nurse practitioner in Marion, KY. Alicia H Clark, APRN NPI is 1801898440. 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:

518 WEST GUM STREET
MARION, KY
ZIP 42064-516
Phone: (270) 965-5238
Fax: (270) 965-9015

The enumeration date for this NPI number is 8/12/2005 and was last updated on 2/9/2011.

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
1363LF0000XNurse PractitionerFamily3004261KENTUCKYYes

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
1P00140734OTHERRAILROAD MEDICARE
2Q08660MEDICARE UPIN
378011640MEDICAIDKENTUCKY
4000000324690OTHERANTHEM BCBS
51276109MEDICARE PINKENTUCKY

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: 3/30/2025

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