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VICKI E CLARK NP, NPI 1609878800

Nurse Practitioner in LUMBERTON, NC

Last Updated on : Oct 01,2012

About VICKI E CLARK (NPI 1609878800)


VICKI E CLARK is a Nurse Practitioner provider in LUMBERTON, United States. Her medical specialization is Nurse Practitioner with a focus in Obstetrics & Gynecology.

1609878800 is NPI number of VICKI E CLARK.

VICKI E CLARK's primary taxonomy code based on NPI Lookup is 363LX0001X with license number 940105. This taxonomy code refers to Nurse Practitioner.

VICKI E CLARK has more than 16 years of experience.

VICKI E CLARK current practice location address is 460 COUNTRY CLUB RD, LUMBERTON, NC. VICKI E CLARK can be reached out via phone at 910-671-3200 and via fax at 910-671-3484 .

You can also correspond with VICKI E CLARK through mail at mailing address 460 COUNTRY CLUB RD, LUMBERTON, NC, United States. Mailing address contact number is 910-671-3200.

The enumeration date of VICKI E CLARK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 10 years ago.

1609878800 NPI Information

Name VICKI E CLARK
National Provider Id (NPI) 1609878800
Entity Type Individual
Gender F
Credential NP
Practice Address 460 COUNTRY CLUB RD,
LUMBERTON, NC, United States
Practice Telephone 910-671-3200
Practice Fax Number 910-671-3484
Mailing Address 460 COUNTRY CLUB RD ,
LUMBERTON, NC, United States
Mailing Telephone 910-671-3200
Mailing Fax Number 910-671-3484
Enumeration Date 01-Jun-2005
Last Updated Date 01-Oct-2012

VICKI E CLARK (NPI 1609878800) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 363LX0001X Nurse Practitioner, Obstetrics & Gynecology 940105 NC

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
2592338 MEDICARE PIN (08) NC
Q39416 MEDICARE UPIN (02) NC

VICKI E CLARK (NPI 1609878800) Office Location

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FAQs

Whose NPI Number is 1609878800?

1609878800 is the NPI number of VICKI E CLARK.

What is the specialty for VICKI E CLARK?

The Specialty of VICKI E 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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