NPI 1053919563

Alexis Mikayla Clark, PAC

Practitioner Physician Assistant Fayetteville, AR

Practice location

Address: 1438 E Augustine Ln STE 2, Fayetteville, AR 72703-5462
Phone: (479) 335-5777

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-943 (AR)

Other Physician Assistant providers in Arkansas →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1053919563
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2020
Record last updated: 10 Feb 2025

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.