Clardy, Penny D

Clardy, Penny D is an individual health care provider with primary practice located at 350 Salem Rd Ste 1 , Conway AR 72034-6166. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clardy, Penny D can be contacted via phone (501) 336-8300.

Contact Information

Primary practice address
350 Salem Rd Ste 1 Conway AR 72034-6166
Phone: (501) 336-8300
Fax: (501) 329-5508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A003472 Arkansas

Profile Details

NPI number 1982703609
LBN Legal business name Clardy, Penny D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982703609 NPPES
Arkansas MEDICAID 188517758

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