CHANDRA H. CLARK RN CDCES NPI 1649868217

NPI Information

NPI: 1649868217
Provider Name: CHANDRA H. CLARK, RN, CDCES
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
11106 HAWKES LANE
BLACKSTONE, VA
ZIP 23824
Phone: (757) 327-1817
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Chandra H. Clark, RN, CDCES is a diabetes educator registered nurse in Blackstone, VA. Chandra H. Clark, RN, CDCES NPI is 1649868217. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11106 HAWKES LANE
BLACKSTONE, VA
ZIP 23824
Phone: (757) 327-1817

The enumeration date for this NPI number is 1/8/2021 and was last updated on 1/8/2021.

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	163WD0400X	Registered Nurse	Diabetes Educator	0001157171	VIRGINIA	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: 4/28/2024

NPI Synchronization or Removal

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