Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Mikayla Clark, PA-C

Individual provider Physician Assistant · NPI 1053919563

Alexis Mikayla Clark, PA-C is a Physician Assistant in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2020.

Licensed in
AR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1438 E Augustine Ln Ste 2
Fayetteville, AR 72703-5462
Phone: (479) 335-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-943 (AR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053919563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2020
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

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