| Doctor Name: | MRS. JULIE LYNN CLARK |
| NPI Number: | 1518336098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | COA18055NP |
| Business Practice Address: | 2501 Jackson Ave Point Pleasant, WV - 255502035 |
| Business Phone Number: | 3048576514 |
| Business Fax Number: | |
| Mailing Address: | 2409 Lincoln Ave, POINT PLEASANT |
| State: | WV |
| Postal Code: | 255501509 |
| Phone Number: | 3045933129 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 09/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA18055NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |