Karen Shepard Clark
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
1100 Grampian Blvd
Williamsport
, Pennsylvania 17701-1909
Karen Shepard Clark
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
1100 Grampian Blvd
Williamsport
, Pennsylvania 17701-1909
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Karen Shepard Clark
- 1201 Grampian Blvd
- Williamsport, PA
- Zip : 17701-1900
- Phone :
Second Address
- Karen Shepard Clark
- 1100 Grampian Blvd
- Williamsport, PA
- Zip : 17701-1909
- Fax : (570) 326-8151
- Phone : (570) 320-7680
Reviews
FAQs
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Is Karen Shepard Clark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | TP003017H | PA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | TP003017H | PA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | TP003017H | PA |
National Provider Identifier
| NPI | 1073581518 |
|---|---|
| Provider Name | Karen Shepard Clark |
| First Address | Williamsport, PA 17701-1900 |
| Second Address | Williamsport, PA 17701-1909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 17/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R98102 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.