Mrs. Kimberly Ann Clark, RNMSNFNP-C
Mrs. Kimberly Ann Clark, RNMSNFNP-C is a Nurse Practitioner in Wheeler, Texas. Qualified in 2022, 4 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.
- Years since qualifying
- 4
- Licensed in
- OK, TX
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
307 E 9th StWheeler, TX 79096-1030
Phone: (580) 558-8543
Fax: (630) 570-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 901 South Sweetwater Street, Wheeler, TX 79096-1030 — (806) 826-5581
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1014028 (TX) |
|---|---|
| Case Management Registered Nurse | Taxonomy 163WC0400X · Licence 95760 (OK) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence F05200738 (OK) |
Record details
| NPI number | 1508405028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RNMSNFNP-C |
| Sole proprietor | No |
| NPI enumerated | December 31, 2019 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 19, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Williams Medical Group Practice, Llc — 207 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |