MRS. TERRI JO CLARK


Address: 1521 Gull Rd, Kalamazoo, MI 49048-1640
Phone: 2692267000

MRS. TERRI JO CLARK (NPI# 1962954305) 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) 1962954305
Entity Type Individual
Full Name MRS. TERRI JO CLARK
Credential FNP-BC, MSN
Practice Address 1521 Gull Rd
Kalamazoo
MI 49048-1640
Mailing Address 504 Adair Ct
Kingsport
TN 37663-2801
Practice Telephone 2692267000
Mailing Telephone 4234061343
Enumeration Date 2016-11-02
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21623 TN 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
1770035966 Terri Jo Clark Nurse Practitioner 2353 N Main St, Vidor, TX 77662-2610 2016-11-04
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 1521 GULL RD
City KALAMAZOO
State MI
Zip Code 49048-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225033939 Midwestern Pathology, PC Pathology 1521 Gull Rd, Kalamazoo, MI 49048-1640 2005-06-17
1164038667 Emily Thurnherr Pharmacist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-09-20
1578180899 Ceara Elaina Sibley Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-07-02
1770108508 Emily Krumbach Pharmacist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-06-08
1700400686 Emily Mccollum Psychologist 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-06-05
1316568850 Adraya Gabrielle Garrett Social Worker 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-05-06
1114551272 Brandy Lee Ford Internal Medicine 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-02-27
1689206120 Olivia Foote Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1666 2020-02-12
1962035402 Shannon Nicole Hepler Registered Nurse 1521 Gull Rd, Kalamazoo, MI 49048-1640 2020-02-12
1346887130 Bethany Paige Flanagan Dietitian, Registered 1521 Gull Rd, Kalamazoo, MI 49048-1640 2019-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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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
1386141018 Jamie Kay Nevins Nurse Practitioner 4114 Mead St, Kalamazoo, MI 49004 2018-04-09
1477080844 Paul Justin Rohr Nurse Practitioner 1717 Shaffer St Ste 232, Kalamazoo, MI 49048-1674 2017-05-17
1891146114 Sikhanyiso Maphosa Nurse Practitioner 4109 Aspen Dr, Kalamazoo, MI 49006-1401 2016-06-28
1922472455 Amy Wallace Nurse Practitioner 333 Portage St, Kalamazoo, MI 49007-4931 2015-11-20
1033312194 Joan Lynn Duckworth Nurse Practitioner 7000 Portage Road, Kalamazoo, MI 49001 2007-06-07
1588661987 Diana Marie Loynes Nurse Practitioner 8210 Keweenaw St, Kalamazoo, MI 49009-5957 2005-06-30
1063416972 Nanette Marie Haring Nurse Practitioner 222 N Kalamazoo Mall, Suite 100, Kalamazoo, MI 49007-3881 2005-06-08
1710591680 Marshe Suderman Nurse Practitioner 601 John St, Kalamazoo, MI 49007-5341 2020-09-08
1417561416 Grace-fomboh Kande Nurse Practitioner 3601 S 9th St, Kalamazoo, MI 49009-9538 2020-09-07
1407472780 Allison Green Nurse Practitioner 601 John St Ste M-273, Kalamazoo, MI 49007-5360 2020-06-22
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Competitor

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City KALAMAZOO
Zip Code 49048

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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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