NPI 1043707854

Brianna Yvonne Clark, DO

Practitioner Family Medicine Physician Joplin, MO

Practice location

Address: 530 S Maiden Ln, Joplin, MO 64801-3084
Phone: (417) 782-6200
Fax: (417) 782-6210

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 05-45999 (KS)

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Lactation Consultant (Non-RN)

Other Service Providers Taxonomy 174N00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043707854
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2018
Record last updated: 22 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.