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

Mrs. Kathryn Lynn Clark, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1972261428

Mrs. Kathryn Lynn Clark, AG-ACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2021, 5 years ago. Practices with North Texas Critical Care PA, a 78-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone: (214) 960-5681
Fax: (214) 960-5681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1059947 (TX)

Record details

NPI number1972261428
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Texas Critical Care Pa — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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