Haley Michelle Clark, FNP
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1295512366
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1295512366
- Entity type
- Individual (NPI-1)
- Name
- Ms. Haley Michelle Clark
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Nov 19, 2024
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2023035149 | MO | Yes |
Practice location
4921 Parkview PlDiv Im Endocrinology, Ste 8b
Saint Louis, MO 63110-1032
Phone 314-362-3500 · Fax 314-230-1119
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-362-3500 · Fax 314-230-1119
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