IndividualActive
Jo Clark, APRN
NPI 1356378673 · Pediatric Nurse Practitioner · Magnolia, AR
Provider details
- NPI number
- 1356378673
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- A01754 (AR)
Practice location
104 Hospital Drive
Magnolia, AR 71753
Phone: (870) 235-3555
Fax: (870) 562-2560
Mailing address
Po Box 629
Magnolia, AR 71754
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2022-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.