VANESSA CLARK


Address: 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869
Phone: 9199325700

VANESSA CLARK (NPI# 1225588171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225588171
Entity Type Individual
Full Name VANESSA CLARK
Credential PA-C, RD
Practice Address 2511 Old Cornwallis Rd
Suite 200
Durham
NC 27713-1869
Mailing Address 686 Fox Pond Dr
Mount Pleasant
SC 29464-4850
Practice Telephone 9199325700
Mailing Telephone 8439014563
Enumeration Date 2016-10-04
Last Update Date 2016-10-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-06800 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers VANESSA CLARK

NPI Name Taxonomy Address Enumeration
1295347714 Vanessa Clark Homemaker 8305 Bottom Woods Cir Apt 102, Tampa, FL 33637-5082 2020-08-17
1336656271 Vanessa Clark Social Worker 76605 Gallatin Rd, Gallatin Gateway, MT 59730-8711 2018-01-01
1265868368 Vanessa Young Clark Physical Therapist 12047 Lake Estates Ave, Baton Rouge, LA 70810-7323 2013-09-20
1649516949 Vanessa Clark Registered Nurse 3794 E 147th St, Cleveland, OH 44128-1025 2012-12-14
1306492699 Vanessa Ann Clark Chore Provider 343 Fairview Dr, Carson City, NV 89701-5798 2019-08-13
1881169860 Vanessa Clark Counselor 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 2018-10-05
1154873818 Vanessa Clark I Technician, Other 41521 W 11 Mile Rd, Novi, MI 48375-1803 2016-10-28
1003363946 Vanessa Clark Pharmacist 1308 S Harris St, Sandersville, GA 31082-6913 2016-09-08

Office Location

Street Address 2511 OLD CORNWALLIS RD
SUITE 200
City DURHAM
State NC
Zip Code 27713-1869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417959560 Shohreh Taavoni Internal Medicine 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 2005-08-10
1225637721 Alexandria Wilson Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2020-10-26
1083223879 Stanisha Natrice Williams Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2020-07-28
1306463898 Susanna Gentry Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2020-06-30
1356977623 Catelyn Vanauken Inman Registered Nurse 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2020-03-19
1760033856 Corinna Ter-antonyan Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2019-09-20
1952950859 Megan D Long Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2019-09-04
1912560277 Sharee Knox Physician Assistant 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2019-04-22
1245792654 Rebecca Waters Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2019-04-03
1932664448 Elizabeth Jordan Barnes Nurse Practitioner 2511 Old Cornwallis Rd, Durham, NC 27713-1869 2019-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1194352542 Mariah Davis Counselor 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 2020-03-25
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1205486081 Lisa Mesmer Barnes Nurse Practitioner 5309hwy 55, Suite 105, Durham, NC 27713 2019-09-13
1497315352 Mary Therese Wood Social Worker 1822 E Highway 54, Suite 300, Durham, NC 27713 2019-06-13
1720558307 Kevin D Simmons Counselor 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 2018-11-27
1790265585 Kelli Cryer Counselor 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 2018-08-21
1477039253 Mahavir Rx, LLC Pharmacy 6216 Fayetteville Rd Ste 105, Durham, NC 27713 2018-07-16
1811482862 Tessa Taylor Dentist 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 2018-06-22
1013401579 Emily Louise Haller Counselor 1822 E Hwy 54, Suite 300, Durham, NC 27713 2018-06-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083197651 Erika Cummings Physician Assistant 40 Medicine Circle Clinic 1l Duke South Clinic Bldg, Durham, NC 27710-2102 2018-09-10
1396237566 Sarah Elizabeth Beatty Physician Assistant 1317 Southpoint Crossing Dr, Durham, NC 27713 2018-06-04
1225548704 Lindsey Anna Rowe Physician Assistant 2301 Erwin Road Duke North Suite 2600, Room 2607a, Durham, NC 27710-0001 2017-10-10
1801316831 Stefanie Nikoloas Xenakis Physician Assistant 2400 Broad St Ste 1, Durham, NC 27704-2662 2017-06-21
1861842700 Kelly Michelle Young Physician Assistant 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 2016-06-21
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1033589577 Andrew David Mcgraw Physician Assistant Duke University Medical Center Emergency, 2nd Floor 2301 Erwin Road Durham, Nc 27710, Durham, NC 27710-4699 2015-09-27
1093145443 Catherine Casey Mcknight Physician Assistant 3458 Duke University Medical Center, Durham, NC 27710 2013-11-21
1013343490 Carolyn Chyu Tashie Physician Assistant Duke Cancer Center 20 Duke Medicine Circle Clinic 3-2, Durham, NC 27710-4699 2013-09-18
1477817203 Andrew Robert Macknair Physician Assistant 4225 Larchmont Rd, Apt 1021, Durham, NC 27707-5962 2012-06-26
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Competitor

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City DURHAM
Zip Code 27713

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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