TERRI JO CLARK (NPI# 1770035966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770035966 |
Entity Type | Individual |
Full Name | TERRI JO CLARK |
Credential | NP |
Practice Address |
2353 N Main St Vidor TX 77662-2610 |
Mailing Address |
288 Country Lane Dr Lumberton TX 77657-6804 |
Practice Telephone | 4098131677 |
Mailing Telephone | 4098131677 |
Mailing Fax Number | 4098132710 |
Enumeration Date | 2016-11-04 |
Last Update Date | 2019-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132041 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336411107 | Terri Clark | Counselor | 21 Ne 63rd St, Oklahoma City, OK 73105-1421 | 2012-02-08 |
1942372966 | Terri Lee Clark | Registered Nurse | 1505 N Rynders St, Grand Chute, WI 54914-1614 | 2006-11-14 |
1184703159 | Terri S Clark | Technician/Technologist | 406 Highway 6 South, Oakland, IA 51560-0323 | 2006-11-02 |
1376556399 | Terri Clark | Physical Therapist | 3331 S State St, Saint Joseph, MI 49085-2458 | 2006-08-14 |
1598325896 | Terri A Clark | Physical Therapy Assistant | 1900 Oneal St, Gainesville, TX 76240-3604 | 2019-06-18 |
1962954305 | Terri Jo Clark | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2016-11-02 |
1750761607 | Terri L Clark | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-06-05 |
1154576130 | Terri Nikole Clark | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2008-11-18 |
1659396919 | Terri L Clark | Nurse Anesthetist, Certified Registered | 1 Medical Park, Wheeling, WV 26003-6379 | 2006-07-13 |
1013909050 | Terri Patrice Clark | Midwife | 100 Church St S, New Haven, CT 06519-1703 | 2005-08-16 |
Street Address |
2353 N MAIN ST |
City | VIDOR |
State | TX |
Zip Code | 77662-2610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497033674 | Minor Home Healthcare & Housekeeping Associates | Custodial Care Facility | 2730 Hwy 12 Ste. 2, Vidor, TX 77662 | 2011-07-22 |
1356477764 | Vidor Pharmacy LLC. | Durable Medical Equipment & Medical Supplies | 1130 N Main St, Vidor, TX 77662 | 2007-02-27 |
1801999727 | Jason M Holmes | Chiropractor | 2612 N Main St, Vidor, TX 77662-2674 | 2006-09-06 |
1598038564 | American Eagle Medical Supply | Durable Medical Equipment & Medical Supplies | 2612 N Main St, Vidor, TX 77662-2674 | 2012-02-21 |
1174023691 | Kathy Blankenship | Home Health | 615 Evangeline Dr, Vidor, TX 77662-2719 | 2018-02-21 |
1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
1972584852 | Texas Total Care,inc. | Home Health | 1880 N Main St, Vidor, TX 77662-3018 | 2005-11-08 |
1063793586 | Michael K Crossley, M D P A | Family Medicine | 1880 N Main St, Vidor, TX 77662-3018 | 2011-08-30 |
1942236153 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1305 N Main St, Vidor, TX 77662-3726 | 2006-06-23 |
1508470154 | Nirvana Nashed | Pharmacist | 1305 N Main St, Vidor, TX 77662-3726 | 2020-09-01 |
Find all providers in zip 77662 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780232652 | Talanna Ceara | Nurse Practitioner | 498 Lakewood Dr, Vidor, TX 77662-3903 | 2019-09-03 |
1487669073 | Vidor Community Health Clinic Inc | Nurse Practitioner | 1290 Highway 12, Vidor, TX 77662-4016 | 2006-07-30 |
1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
Find all providers with the same taxonomy |
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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.