Clark, Kristina

Clark, Kristina is an individual health care provider with primary practice located at 1420 Sw Saint Lucie West Blvd Ste 107 , Port Saint Lucie FL 34986-1709. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Kristina can be contacted via phone (772) 879-1112.

Contact Information

Primary practice address
1420 Sw Saint Lucie West Blvd Ste 107 Port Saint Lucie FL 34986-1709
Phone: (772) 879-1112
Fax: (772) 879-1167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9324590 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9324590 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9324590 Florida

Profile Details

NPI number 1063871341
LBN Legal business name Clark, Kristina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2016
Last updated Sep 27th, 2021 - about 5 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.

Request for update

Popular Providers