MARY KIMBERLY CLARKE NP NPI 1801913801

NPI Information

NPI: 1801913801
Provider Name: MARY KIMBERLY CLARKE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
500 CAROLINA MEADOWS
CHAPEL HILL, NC
ZIP 27517
Phone: (919) 370-7102
Get Directions

Mary Kimberly Clarke, NP is an adult health nurse practitioner in Chapel Hill, NC. Mary Kimberly Clarke, NP NPI is 1801913801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 CAROLINA MEADOWS
CHAPEL HILL, NC
ZIP 27517-471
Phone: (919) 370-7102
Fax: (919) 942-0377

The enumeration date for this NPI number is 3/23/2007 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	900035	NORTH CAROLINA	No
2	363LA2200X	Nurse Practitioner	Adult Health	0900036	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	811995	OTHER	NORTH CAROLINA	PARTNERS
2	561380014G	OTHER		HUMANA
3	2592857A	OTHER	NORTH CAROLINA	MEDICARE PIN PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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