IndividualActive
Kelly Clark, NP
NPI 1972988913 · Neonatal Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1972988913
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 28159429 (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
705 Riley Hospital Dr
Rr208
Indianapolis, IN 46202-5109
Phone: (317) 274-4715
Fax: (317) 274-2065
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1026
Indianapolis, IN 46206-1026
Registry dates
- Enumerated
- 2015-07-20
- Last updated
- 2021-02-01
- Certified
- 2021-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.