BONNIE L CLARK

BEHAVIORAL HEALTHCARE MANAGEMENT LLC.

Dr BONNIE L CLARK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

BEHAVIORAL HEALTHCARE MANAGEMENT LLC.

2700 VISSING PARK RD
JEFFERSONVILLE
IN
471305989

Tel: 5028951611

BONNIE L CLARK Information

Npi 1831472133
Pac Id 6305019217
Professional Enrollment Id I20111109000074
Last Name CLARK
First Name BONNIE
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BEHAVIORAL HEALTHCARE MANAGEMENT LLC.
Group Practice Pac Id 1557592474
Number Of Group Practice Members 5
Line 1 Street Address 2700 VISSING PARK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JEFFERSONVILLE
State IN
Zip Code 471305989
Phone Number 5028951611
Hospital Affiliation Ccn 1 150009
Hospital Affiliation Lbn 1 CLARK MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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