MS. VICKI E CLARK


Address: 460 Country Club Rd, Lumberton, NC 28360-9494
Phone: 9106713200

MS. VICKI E CLARK (NPI# 1609878800) 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) 1609878800
Entity Type Individual
Full Name MS. VICKI E CLARK
Credential NP
Practice Address 460 Country Club Rd
Lumberton
NC 28360-9494
Practice Telephone 9106713200
Practice Fax Number 9106713484
Mailing Telephone 9106713200
Mailing Fax Number 9106713484
Enumeration Date 2005-06-01
Last Update Date 2012-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
940105 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers VICKI CLARK

NPI Name Taxonomy Address Enumeration
1649415209 Vicki Lynn Clark Social Worker 13111 Westbrook Rd, Brookville, OH 45309-8732 2008-12-11
1972990349 Vicki Clark Specialist 13 Park Lawn Dr, Bethel, CT 06801-1043 2015-04-23
1972921468 Vicki Marie Clark Registered Nurse 6071 W Outer Dr, Detroit, MI 48235-2624 2014-04-01
1992145106 Vicki L. Clark Nurse Practitioner 200 1st St Sw, Rochester, MN 55905-0001 2013-07-02
1770603268 Vicki L Clark Occupational Therapy Assistant 36 Clinton St, Concord, NH 03301-2359 2007-03-30
1184790859 Vicki Lyne Clark Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2006-11-27
1215041249 Vicki Lynn Clark Social Worker 601 Highway 6 W, Iowa City, IA 52246-2209 2006-08-18
1699704114 Vicki Hugh Clark Dietitian, Registered 274 E Chicago St, Coldwater, MI 49036-2041 2006-06-30
1578539094 Vicki L Clark Nurse Anesthetist, Certified Registered 3535 Southern Blvd, Kettering, OH 45429-1221 2006-02-24

Office Location

Street Address 460 COUNTRY CLUB RD
City LUMBERTON
State NC
Zip Code 28360-9494

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245233303 Robert Rhea Earnest Pediatrics 460 Country Club Rd, Lumberton, NC 28360-9494 2005-05-23
1548762727 Lindsay Michelle Henderson Nurse Practitioner 460 Country Club Rd, Lumberton, NC 28360 2018-03-05
1487010401 Chiara Lynn Carter Physician Assistant 460 Country Club Rd, Lumberton, NC 28360-9494 2016-01-06
1881970598 County of Robeson Clinic/Center 460 Country Club Rd, Lumberton, NC 28360-9494 2011-10-26
1801037262 Robeson County Health Department Clinic/Center 460 Country Club Rd, Lumberton, NC 28360-9494 2009-03-16
1871769372 Mary Bullard Cummings Dentist 460 Country Club Rd, Lumberton, NC 28360-9494 2008-05-05
1659553634 Deena Joanne Locklear Dietitian, Registered 460 Country Club Rd, Lumberton, NC 28360-9494 2007-11-30
1144415563 Josephine Emunah Dietitian, Registered 460 Country Club Rd, Lumberton, NC 28360-9494 2007-09-10
1871787705 Monica Mcvicker Nutritionist 460 Country Club Rd, Lumberton, NC 28360-9494 2007-09-04
1669697108 County of Robeson Clinic/Center 460 Country Club Rd, Lumberton, NC 28360-9494 2007-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598387003 Heather Lynn Cook Specialist/Technologist 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 2020-05-07
1093363780 Michael Paul Hammonds Technician 112 Ethel Dr, Lumberton, NC 28360 2019-08-27
1679120646 Helen G. Eller Technician 2066 Us Hwy 74 West, Lumberton, NC 28360 2019-08-23
1659846541 Cassaundra Paige Locklear Counselor 1560 Oak Grove Church Road, Lumberton, NC 28360 2018-10-08
1689114191 Neketa Floyd Counselor 3531 Lacky Street, Lumberton, NC 28360 2017-03-02
1912458753 Rosa Keng Jou-zhang Physician Assistant 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 2016-10-17
1891179453 Chaqulla Woods Social Worker 107 Angel Dr, Lumberton, NC 28360 2015-07-14
1780089490 Craig Slotke Dentist 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 2014-10-24
1538563473 East Carolina University School of Dental Medicine-lumberton Dentist 600 Country Club Dr., Lumberton, NC 28360 2014-10-21
1033436266 Primary Health Choice, Inc. Community/Behavioral Health 107e Mount Moriah Church Road, Lumberton, NC 28360 2010-04-28
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912909128 Connie Miller Freeman Nurse Practitioner 460 Country Club Rd, Lumberton, NC 28360-9494 2005-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386856649 Victoria L Kell Nurse Practitioner 247 Memorial Dr, Jacksonville, NC 28546-6333 2007-05-07
1376610022 Deborah Shamberger Barrett Nurse Practitioner 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 2006-11-29
1922106426 Wanda A Fuschino Nurse Practitioner 349 Penny Ln Ne, Concord, NC 28025-1221 2006-09-20
1699879239 Bertha Lee Hendrix Nurse Practitioner 227 Fountainhead Ln, Fayetteville, NC 28301-5417 2006-09-12
1679508253 Angela M Walling Nurse Practitioner 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 2006-07-11
1467415752 Paula Thum Nurse Practitioner 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 2006-04-08
1932169612 Mary Coffey Blalock Nurse Practitioner 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 2006-03-25
1336144518 Victoria Edwards Smith Nurse Practitioner 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 2005-06-15
1790788024 Donna White Bass Nurse Practitioner 4005 Oleander Dr, Wilmington, NC 28403-6816 2005-05-31
1003431404 Rhonda Mann Lovvorn Nurse Practitioner 700 Tilghman Dr, Dunn, NC 28334-0007 2020-06-11
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Competitor

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City LUMBERTON
Zip Code 28360

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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