Casey Clark (NPI# 1518308923, PAC ID# 8820217367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518308923 |
| PAC ID by PECOS | 8820217367 |
| Professional Enrollment ID | I20181031000764 |
| Full Name | Casey Clark |
| Organization Legal Name | AVANCE CARE PA |
| Address |
1964 S Main St Wake Forest NC 27587-9336 |
| Phone Number | 9195540177 |
| Gender | M |
| Medical School | COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577634476 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 815 Oberlin Rd, Raleigh, NC 27605-1130 | 9196551000 | AVANCE CARE PA |
| 1964 S Main St, Wake Forest, NC 27587-9336 | 9195540177 | AVANCE CARE PA |
| Organization Legal Name | AVANCE CARE PA |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Silsby | Nurse Practitioner | Avance Care Pa | 1004 Werrington Dr, Suite 200, Holly Springs, NC 27540-6016 |
| Li Wang | Nurse Practitioner | Avance Care Pa | 815 Oberlin Rd, Raleigh, NC 27605-1130 |
| Tida Lam | Family Medicine | Avance Care Pa | 210 Hinton Oaks Blvd, Suite E, Knightdale, NC 27545-6564 |
| Kathryn Meiners | Clinical Social Worker | Avance Care Pa | 1801 Olive Chapel Rd, Apex, NC 27502-8512 |
| William P Kilgore | Physician Assistant | Avance Care Pa | 98 Chapelton Ct, Suite 310, Chapel Hill, NC 27516-8487 |
| Alies R Barton | Clinical Social Worker | Avance Care Pa | 876 Timber Dr, Garner, NC 27529-4850 |
| Nadeen S Risi | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Shannon M Corlett | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 115 Crescentcommons Dr, Suite 100, Cary, NC 27518-8102 |
| Colin H Gage | Physician Assistant | Avance Care Pa | 7750 Mccrimmon Pkwy, Suite 100, Cary, NC 27519-1912 |
| Kristy Marie Su | Nurse Practitioner | Avance Care Pa | 1821 Martin Luther King Pkwy, Durham, NC 27707-6336 |
| Street Address |
1964 S MAIN ST |
| City | WAKE FOREST |
| State | NC |
| Zip | 27587-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadeen S Risi | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Michelle Hyeon Macdonna | Nurse Practitioner | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Brenda Thomas | Physician Assistant | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Courtney Hudson Hinton | Family Medicine | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Kasey Mitchell | Clinical Social Worker | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Grace Burton | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Carinne F Woodworth | Physician Assistant | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Bonnie C Wilson | Registered Dietitian Or Nutrition Professional | Avance Care Pa | 1964 S Main St, Wake Forest, NC 27587-9336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Hupp | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
| Subbulakshmi Settu | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
| Kelly J Valencia | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 245 E Roosevelt Ave, Wake Forest, NC 27587-2719 |
| Jonne A Boone | Clinical Social Worker | 523 Wait Ave, Wake Forest, NC 27587-2727 | |
| Corinne N Green | Psychologist, Clinical | Charis Foundation Inc | 536 Wait Ave, Wake Forest, NC 27587-2728 |
| Robert Lewis Stuckey | Clinical Social Worker | Charis Foundation Inc | 536 Wait Ave, Wake Forest, NC 27587-2728 |
| Lauren A Bridges | Clinical Social Worker | 158 S White St, Wake Forest, NC 27587-2740 | |
| Adrienne M Sievert Rombach | Clinical Social Worker | Monarch | 350 E Holding Ave, Wake Forest, NC 27587-2904 |
| Frank Bercik | Podiatry | 337 S White St, Wake Forest, NC 27587-2916 | |
| Stephanie Erin Wenig | Chiropractic | K and S Wellness LLC | 610 Doctor Calvin Jones Hwy 104, Wake Forest, NC 27587-3100 |
| Find all physicians in zip 27587 | |||
| City | WAKE FOREST |
| Zip Code | 27587 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAKE FOREST + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Casey 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.