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

Annie Clark

Individual provider Family Nurse Practitioner · NPI 1629802772

Annie Clark is a Family Nurse Practitioner in West Memphis, Arkansas. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

108 W Tyler Ave
West Memphis, AR 72301-4221
Phone: (870) 732-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 36624 (TN)

Record details

NPI number1629802772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 26, 2025
Mailing address108 W Tyler Ave, West Memphis, AR 72301-4221

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