| Doctor Name: | KAREN SHEPARD CLARK |
| NPI Number: | 1073581518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MS, CRNP, ACHPN |
| License Number: | TP003017H |
| Business Practice Address: | 1100 Grampian Blvd Williamsport, PA - 177011909 |
| Business Phone Number: | 5703207680 |
| Business Fax Number: | 5703207898 |
| Mailing Address: | 1201 Grampian Blvd, Suite 1k WILLIAMSPORT |
| State: | PA |
| Postal Code: | 177011900 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | TP003017H |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |