| Doctor Name: | MRS. FRANCES ANN CLARK |
| NPI Number: | 1285978460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | 2012006018 |
| Business Practice Address: | 3304 Stones Throw Ave Poland, OH - 445144204 |
| Business Phone Number: | 3307071115 |
| Business Fax Number: | 3307071119 |
| Mailing Address: | 46 Ida Dr, POLAND |
| State: | OH |
| Postal Code: | 445141736 |
| Phone Number: | 3307577782 |
| Fax Number: | 3307071119 |
| NPI Enumeration Date: | 11/12/2012 |
| NPI Last Update Date: | 11/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 2012006018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |