NPI 1356378673 · live from the CMS NPI Registry
Jo Ann Clark, APRN
Nurse Practitioner, Pediatrics in Magnolia, AR. National Provider Identifier 1356378673, active.
NPI record
| NPI | 1356378673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 104 Hospital Drive, Magnolia, AR 71753 |
| Practice phone | 870-235-3555 |
| Mailing address | Po Box 629, Magnolia, AR 71754 |
| Enumerated | June 26, 2006 |
| Last updated | April 27, 2022 |
| Sole proprietor | No |
| Other names | Jo Maloch |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A01754 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.