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

Carolyn Marie Clark, NP

Individual provider Pediatric Nurse Practitioner · NPI 1194582593

Carolyn Marie Clark, NP is a Pediatric Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 486-5388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2024001854 (MO)

Record details

NPI number1194582593
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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