Crystal S. Clark
Nurse Practitioner · Monticello, IL
Practice location
1000 Medical Center DrMonticello, IL 61856-2116
- Phone
- (217) 762-6241
- Fax
- (217) 762-1702
NPI record
- NPI
- 1427557321
- Entity type
- Individual (Type 1)
- Enumeration date
- February 6, 2018
- Last updated
- March 26, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
209017069 | IL |
About Crystal Clark
Crystal S. Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1000 Medical Center Dr, Monticello, IL 61856-2116. The NPI number 1427557321 was assigned on February 6, 2018 and the record was last updated on March 26, 2019.
Crystal Clark lists a license in the registry: #209017069 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Crystal S. Clark?
The NPI number is 1427557321.
What is the phone number of Crystal Clark?
The phone number listed for the practice location is (217) 762-6241.
Where is Crystal Clark located?
1000 Medical Center Dr, Monticello, IL 61856-2116.
What is the taxonomy code for Crystal Clark?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Nurse Practitioner providers in Monticello
- Christy Barre, NP1002 Medical Center Dr
- Santia Fitzpatrick1000 Medical Center Dr