MARY A CLARK (NPI# 1518945732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518945732 |
| Entity Type | Individual |
| Full Name | MARY A CLARK |
| Credential | NP |
| Practice Address |
312 South Main St Stantonsburg NC 27883 |
| Practice Telephone | 2522382757 |
| Practice Fax Number | 2522382741 |
| Mailing Telephone | 2522382757 |
| Mailing Fax Number | 2522382741 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0050-02432 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| Street Address |
312 SOUTH MAIN ST |
| City | STANTONSBURG |
| State | NC |
| Zip Code | 27883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770607384 | Virginia Dare Behavorial Health Services Inc. | Preferred Provider Organization | 367 Lane Road, Stantonsburg, NC 27883 | 2007-03-19 |
| 1992782643 | Stantonsburg Drug Company, Inc | Pharmacy | 105 South Main Street, Stantonsburg, NC 27883-0040 | 2005-12-23 |
| 1730189119 | Armie Rowland Strickland Jr. | Pharmacist | 105 South Main St, Stantonsburg, NC 27883-0040 | 2005-07-27 |
| 1346396041 | Stantonsburg Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 105 S Main St, Stantonsburg, NC 27883-0040 | 2007-01-26 |
| 1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 2007-02-26 |
| 1356580088 | Carrie's Family Care Home | Custodial Care Facility | 1025 Pope Farm Rd, Stantonsburg, NC 27883-8525 | 2009-02-19 |
| 1225459308 | Easter Seals Ucp North Carolina & Virginia Inc. | Assisted Living Facility | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2013-12-17 |
| 1700418225 | Life, Inc. | Day Training, Developmentally Disabled Services | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2020-02-12 |
| 1609906288 | Edwards Group Home 4 | Community Based Residential Treatment Facility, Mental Illness | 1269 Apple Tree Rd, Stantonsburg, NC 27883-9039 | 2007-03-06 |
| 1831596535 | Circle of Love Family Care Home LLC. | Custodial Care Facility | 6604 Hwy 264 East Alt., Stantonsburg, NC 27883-9203 | 2014-11-24 |
| Find all providers in zip 27883 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | STANTONSBURG |
| Zip Code | 27883 |
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| 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.