IndividualActive
Alexis Clark
NPI 1902790629 · Case Manager/Care Coordinator · Broken Arrow, OK
Provider details
- NPI number
- 1902790629
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1405 W Yuma Cir
Broken Arrow, OK 74011-5702
Phone: (918) 688-9251
Approximate (ZIP-level) locationGet directions
Mailing address
1405 W Yuma Cir
Broken Arrow, OK 74011-5702
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.