IndividualActive
Kristen Clark, NNP-BC
NPI 1699386417 · Critical Care Neonatal Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1699386417
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 104422085 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 319-7763
Approximate (ZIP-level) locationGet directions
Mailing address
1 Childrens Pl
Saint Louis, MO 63110-1002
Additional practice locations (1)
- 1021 Hitt StColumbia, MO 65212-0001Phone: (573) 882-2272Fax: (573) 884-1795
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.