| NPI | 1902457450 |
|---|---|
| Doing Business As | CLARK, NELSON, AND ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | SHAMMONA CLARK Family Nurse Practitioner 574-298-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-08-17 |