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Contact Information

KRISTINA CLARK, CRNP
625 19TH ST S
JT 807
BIRMINGHAM, AL35249-6810
 Phone: 205-934-4696
 Fax: 205-934-9118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTINA CLARK · (Female)

NPI # 1598140147
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/24/2015
Last updated 07/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-116388
Hospital affiliation(s)
  • UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care)
    619 SOUTH 19TH STREET
    BIRMINGHAM, AL 35233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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