NORTON CLARK PHYSICIAN PRACTICES LLC NPI 1679017552

NPI Information

  • NPI: 1679017552
  • Provider Name: NORTON CLARK PHYSICIAN PRACTICES, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: HAVENS MEDICAL GROUP
  • Address: 2205 GREENTREE N
    CLARKSVILLE, IN
    ZIP 47129
  • Phone: (812) 283-4441

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NPI Details

NORTON CLARK PHYSICIAN PRACTICES, LLC is a family nurse practitioner in Clarksville, IN. NORTON CLARK PHYSICIAN PRACTICES, LLC NPI is 1679017552. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Havens Medical Group.

The provider's business location address is:

2205 GREENTREE N
CLARKSVILLE, IN
ZIP 47129-957
Phone: (812) 283-4441
Fax: (812) 288-2605

The provider's authorized official is Shelley Gast .
The authorized official title is Vp Managed Care and has the following contact phone number (502) 559-9409.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 11/7/2023.

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
1363LF0000XNurse PractitionerFamily28168470AINDIANAYes

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

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