Terri J Clark (NPI# 1962954305, PAC ID# 0749563419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962954305 |
| PAC ID by PECOS | 0749563419 |
| Professional Enrollment ID | I20170203002425 |
| Full Name | Terri J Clark |
| Organization Legal Name | VICTORY CLINICAL SERVICES LLC |
| Address |
401 Howard St Kalamazoo MI 49001-2748 |
| Phone Number | 2693444458 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678729506 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 842 Columbia Ave E, Suite 2, Battle Creek, MI 49014-5449 | 2697531710 | VICTORY CLINICAL SERVICES BATTLE CREEK LLC |
| 401 Howard St, Kalamazoo, MI 49001-2748 | 2693444458 | VICTORY CLINICAL SERVICES LLC |
| Organization Legal Name | VICTORY CLINICAL SERVICES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne L Fielder | Physician Assistant | Victory Clinical Services LLC | 401 Howard St, Kalamazoo, MI 49001-2748 |
| Street Address |
401 HOWARD ST |
| City | KALAMAZOO |
| State | MI |
| Zip | 49001-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne L Fielder | Physician Assistant | Victory Clinical Services LLC | 401 Howard St, Kalamazoo, MI 49001-2748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Nichols | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Mauli A Verma | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Debra S Schauer | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ondrej Chudoba | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Jacob Weintraub | Pediatric Medicine | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Leah R Keller | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ryan P Davis | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Margot Lynne Chadwick | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Jennifer M Richardson | Physician Assistant | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Corinne A Overmyer | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Find all physicians in zip 49001 | |||
| City | KALAMAZOO |
| Zip Code | 49001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KALAMAZOO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Terri J Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.