TERRI JO CLARK


Address: 2353 N Main St, Vidor, TX 77662-2610
Phone: 4098131677

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP132041 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers TERRI CLARK

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

Office Location

Street Address 2353 N MAIN ST
City VIDOR
State TX
Zip Code 77662-2610

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City VIDOR
Zip Code 77662

Improve Information

Please comment or provide details below to improve the information on TERRI JO CLARK.

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.

Trending Searches