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

Annie Elizabeth Clark, PA

Individual provider Physician Assistant · NPI 1114760204

Annie Elizabeth Clark, PA is a Physician Assistant in Owens Cross Roads, Alabama. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6602 Hampton Bend Cir SE
Owens Cross Roads, AL 35763-8200
Phone: (256) 603-9685
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114760204
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024