MS. JOAN MARIE CLARK ANP
NPI 1710969498
Nurse Practitioner - Adult Health in Saint Louis, MO

Q: What is Joan Clark's NPI number?

The NPI number for Joan Clark is 1710969498. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Joan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Joan Clark was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2005

6400 CLAYTON RD STE 302, SAINT LOUIS, MO 63117(314) 645-3370(314) 645-0576 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Joan Marie Clark Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOAN MARIE CLARK ANP (NPI 1710969498) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2816742621) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1710969498

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. JOAN MARIE CLARKCredential: ANP

Location Address6400 CLAYTON RD STE 302Saint Louis, MO 63117-1850

Mailing AddressPo Box 955534Saint Louis, MO 63195-1019

Phone(314) 645-3370

Fax(314) 645-0576

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1710969498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2816742621

6400 CLAYTON RD STE 302, Saint Louis, MO 63117

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Other Identifiers 6

Other060065MO · Exclusive Choice

Other072280Provider Number

Other534842MO · Healthlink

Other213137MO · Blue Choice

Other500005275MO · Railroad Medicare

Medicaid428933303MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAYCE BOURGETTE HESTER FNP

Nurse Practitioner (Family)

6400 CLAYTON RD STE 302
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 645-3370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Clark's NPI number?

The NPI number for Joan Clark is 1710969498. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Joan Clark located?

Joan Clark practices at 6400 Clayton Rd Ste 302, Saint Louis, MO 63117. The listed phone number is (314) 645-3370.

What is Joan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Joan Clark was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.