Lookup NPI Numbers from the NPI Registry
NPI Profile for AMANDA L CLARK in CHARLESTON, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI # | 1225666035 |
|
| Status | Active | |
| Credentials | RN, BSN | |
| Entity | Individual | |
| Enumeration date | 03/28/2020 | |
| Last updated | 11/01/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA L CLARK
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AMANDA L CLARK, RN, BSN