SARAH SHIVERS CLARK NP-C NPI 1164921854

NPI Information

NPI: 1164921854
Provider Name: SARAH SHIVERS CLARK, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TARANTOLA DERMATOLOGY INC

PECOS Registration: Yes

Address:
1717 N E ST STE 239
PENSACOLA, FL
ZIP 32501
Phone: (850) 432-3467
Get Directions

Sarah Shivers Clark, NP-C is a family nurse practitioner in Pensacola, FL with 7 years of experience. Sarah Shivers Clark, NP-C NPI is 1164921854. 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:

1717 N E ST STE 239
PENSACOLA, FL
ZIP 32501-390
Phone: (850) 432-3467
Fax: (850) 434-2308

The NPI 1164921854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2018 and was last updated on 3/13/2018.

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	363LF0000X	Nurse Practitioner	Family	9376525	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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