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Katherine Clark

Nurse Practitioner - Primary Care

940 Golf House Ct E
Whitsett , North Carolina 27377-9296

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Katherine Clark

Nurse Practitioner - Primary Care

940 Golf House Ct E
Whitsett , North Carolina 27377-9296

(918) 691-1134

Write a Review Save Call

Katherine Clark

Nurse Practitioner - Primary Care

940 Golf House Ct E
Whitsett , North Carolina 27377-9296

(918) 691-1134 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

940 Golf House Ct E Whitsett , North Carolina 27377-9296

First Address

  • Katherine Clark
  • 2004 Otter Creek Dr
  • Whitsett, NC
  • Zip : 27377-9322
  • Phone : (918) 691-1134

Second Address

  • Katherine Clark
  • 940 Golf House Ct E
  • Whitsett, NC
  • Zip : 27377-9296
  • Phone : (336) 449-9838

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FAQs


Where did Katherine Clark attend graduate school?

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Where did Katherine Clark do her residency?

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Where did Katherine Clark do her fellowship?

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Is Katherine Clark board certified?

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What type of doctor is Katherine Clark

Nurse Practitioner - Primary Care

In what state does Katherine Clark practice in?

North Carolina

Where is Katherine Clark ’s practice located?

940 Golf House Ct E , Whitsett, North Carolina, 27377-9296

What is Katherine Clark ’s gender?

Female

Is Katherine Clark a sole practitioner?

No

Is Katherine Clark accepting new patients?

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What languages does Katherine Clark speak?

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Does Katherine Clark accept insurance?

Yes, Katherine Clark accepts insurance

Does Katherine Clark offers telemedicine?

Katherine Clark has not indicated if she offers telemedicine

What is Katherine Clark ’s professional license number?

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What is Katherine Clark ’s NPI number?

1043678170

Does Katherine Clark have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP2300X Nurse Practitioner - Primary Care 234589 NC

National Provider Identifier

NPI 1043678170
Provider Name Katherine Clark
First Address Whitsett, NC 27377-9322
Second Address Whitsett, NC 27377-9296
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/02/2016
Last Update Date 24/09/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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