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NELLDA C CLARK CRNP, NPI 1407853880

Nurse Practitioner in MONTGOMERY, AL

Last Updated on : Feb 08,2011

NELLDA C CLARK CRNP, NPI 1407853880

About NELLDA C CLARK (NPI 1407853880)


NELLDA C CLARK is a Nurse Practitioner provider in MONTGOMERY, United States. Her medical specialization is Nurse Practitioner with a focus in Acute Care.

1407853880 is NPI number of NELLDA C CLARK.

NELLDA C CLARK's primary taxonomy code based on NPI Lookup is 363LA2100X with license number 1-0473524. This taxonomy code refers to Nurse Practitioner.

NELLDA C CLARK has more than 16 years of experience.

NELLDA C CLARK current practice location address is 440 TAYLOR RD, MONTGOMERY, AL. NELLDA C CLARK can be reached out via phone at 334-265-7075 and via fax at 334-261-6113 .

You can also correspond with NELLDA C CLARK through mail at mailing address 440 TAYLOR RD, MONTGOMERY, AL, United States. Mailing address contact number is 334-265-7075.

The enumeration date of NELLDA C CLARK is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.

1407853880 NPI Information

Basic NPI information of NELLDA C CLARK (NPI 1407853880) is provided below.

Name NELLDA C CLARK
National Provider Id (NPI) 1407853880
Entity Type Individual
Gender F
Credential CRNP
Practice Address 440 TAYLOR RD, 3230
MONTGOMERY, AL, United States
Practice Telephone 334-265-7075
Practice Fax Number 334-261-6113
Mailing Address 440 TAYLOR RD , 3300
MONTGOMERY, AL, United States
Mailing Telephone 334-265-7075
Mailing Fax Number 334-261-6113
Enumeration Date 30-Jun-2005
Last Updated Date 08-Feb-2011

NELLDA C CLARK (NPI 1407853880) Primary Taxonomy Information

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

Primary Taxonomy Code Clasification License Number License State
Y 363LA2100X Nurse Practitioner, Acute Care 1-0473524 AL

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
000008426 MEDICARE ID-Type Unspecified (04) AL
S84191 MEDICARE UPIN (02) AL

NELLDA C CLARK (NPI 1407853880) Office Location

Office location of NELLDA C CLARK is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1982052015 KEVIN J JONES Pharmacist 4385 NARROW LANE RD,
MONTGOMERY, AL, United States
31-May-2016
1043298995 ALLEN HOWARD STERN Podiatrist 1558 E TRINITY BLVD,
MONTGOMERY, AL, United States
01-Jan-2006
1376521112 EMMETT WARD SMITH Dentist 3150 ZELDA CT,
MONTGOMERY, AL, United States
03-Jan-2006
1851458830 SOUTHEAST HOSPICE NETWORK, LLC Hospice Care, Community Based 3001 ZELDA RD STE 300,
MONTGOMERY, AL, United States
02-Jan-2007
1326105321 SAMUEL DOUGLAS COLLIER Marriage & Family Therapist 4216 LOMAC ST,
MONTGOMERY, AL, United States
02-Jan-2007
1346661766 PAMELA PARKER Pharmacist PO BOX 1848,
AUBURN, AL, United States
02-Jan-2014
1760870547 STAN BARNARD Social Worker, Clinical 8831 STONERIDGE PL,
MONTGOMERY, AL, United States
02-Jan-2015
1881139731 NIKKI ROBERTS Massage Therapist 7111 HALCYON PARK DR STE B,
MONTGOMERY, AL, United States
02-Jan-2017
1114499118 ANNIE SAGE LLC Non-emergency Medical Transport (VAN) 2740 ZELDA RD STE 5B,
MONTGOMERY, AL, United States
02-Jan-2019
1144793191 KYLE H ADAMS Nurse Anesthetist, Certified Registered PO BOX 235019,
MONTGOMERY, AL, United States
02-Jan-2019
1578800033 LEONARD WAYNE YARBROUGH Dentist, Periodontics 1220 CARMICHAEL WAY,
MONTGOMERY, AL, United States
03-Jan-2013
1265410781 GLENDA ATILANO Internal Medicine 4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL, United States
04-Jan-2006
1346228871 VANESSA BROWN Nurse Practitioner 1000 ADAMS AVE,
MONTGOMERY, AL, United States
05-Jan-2006
1326195124 PORCIA BRADFORD LOVE Dermatology 4712 BERRY BLVD,
MONTGOMERY, AL, United States
04-Jan-2007
1275680027 GLEN C BANNISTER Psychologist 4216 LOMAC ST,
MONTGOMERY, AL, United States
04-Jan-2007
1548317225 LAURIE B WHITE Physical Therapist 825 W WASHINGTON ST,
EUFAULA, AL, United States
04-Jan-2007
1619024213 MARY JAMIE MOUNT Dentist, General Practice 3439 MCGEHEE RD STE B, UNIT 22
MONTGOMERY, AL, United States
04-Jan-2007
1528338811 JILL MENNEMEIER Registered Nurse 602 S LAWRENCE ST,
MONTGOMERY, AL, United States
04-Jan-2012
1497025787 LISA BACHANT Registered Nurse 602 S LAWRENCE ST,
MONTGOMERY, AL, United States
04-Jan-2012
1457698896 COURTNEY WORLEY CARLISLE Psychologist, Clinical 215 PERRY HILL RD,
MONTGOMERY, AL, United States
04-Jan-2013

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1407853880?

1407853880 is the NPI number of NELLDA C CLARK.

What is the specialty for NELLDA C CLARK?

The Specialty of NELLDA C CLARK is Nurse Practitioner.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. 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 (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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