MRS. TERRI JO CLARK FNP-BC MSN NPI 1962954305

NPI Information

NPI: 1962954305
Provider Name: MRS. TERRI JO CLARK, FNP-BC, MSN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8550 NE 138TH LN BLDG 600
LADY LAKE, FL
ZIP 32159
Phone: (352) 707-0707
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MRS. Terri Jo Clark, FNP-BC, MSN is a family nurse practitioner in Lady Lake, FL. MRS. Terri Jo Clark, FNP-BC, MSN NPI is 1962954305. 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:

8550 NE 138TH LN BLDG 600
LADY LAKE, FL
ZIP 32159-816
Phone: (352) 707-0707
Fax: (269) 753-1717

The NPI 1962954305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 12/27/2023.

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
1	363LF0000X	Nurse Practitioner	Family	11020806	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: 4/28/2024

NPI Synchronization or Removal

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