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

Kelly Marie Clark, NP

Individual provider Neonatal Nurse Practitioner · NPI 1972988913

Kelly Marie Clark, NP is a Neonatal Nurse Practitioner in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
Specialties on file
2
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

705 Riley Hospital Dr RR208
Indianapolis, IN 46202-5109
Phone: (317) 274-4715
Fax: (317) 274-2065
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 71005589A (IN)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 28159429 (IN)

Record details

NPI number1972988913
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 20, 2015
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

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