VERSAILLES G CLARK NPI 1649977422

NPI Information

  • NPI: 1649977422
  • Provider Name: VERSAILLES G CLARK
  • Classification: Technician/Technologist - 156F00000X
  • Entity Type: Individual
  • Address: 616 CORVINA DR
    DAVENPORT, FL
    ZIP 33897
  • Phone: (313) 695-7079

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NPI Details

Versailles G Clark is a technician technologist in Davenport, FL. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. Versailles G Clark NPI is 1649977422. 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:

616 CORVINA DR
DAVENPORT, FL
ZIP 33897-437
Phone: (313) 695-7079

The enumeration date for this NPI number is 2/13/2023 and was last updated on 2/13/2023.

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
1156F00000XTechnician/TechnologistYes

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: 11/21/2025

NPI Synchronization or Removal

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