MEDICARE: ERICKA CLARK FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11017507	FL
2	363LF0000X	Family Nurse Practitioner	AC005986	MD

General Provider Information

NPI Number	:	1558842930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA CLARK FNP-C

Provider Business Mailing Address
First Line	:	1600 CRAIN HWY S STE 301
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-6446
Country	:	US
Telephone Number	:	410-787-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CRAIN HWY S STE 301
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-6446
Country	:	US
Telephone Number	:	410-787-8315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	12/01/2023

Similar Medicare Providers

1245707843 — CENTER FOR PAIN MANAGEMENT LLC
Practice Location Address:

1600 CRAIN HWY S STE 301
GLEN BURNIE, MD
21061-6446

Practice Phone: 410-787-8315
Practice Fax: 410-787-8316

1174089239 — ADEBOLA A ADEJUWON NP
Practice Location Address:

1600 CRAIN HWY S STE 301
GLEN BURNIE, MD
21061-6446

Practice Phone: 140-787-8315
Practice Fax:

1407719313 — JULIA GILL DNP-FNP
Practice Location Address:

1412 CRAIN HWY N STE 6A
GLEN BURNIE, MD
21061-7000

Practice Phone: 410-761-3900
Practice Fax:

1023266145 — ASC DEVELOPMENT COMPANY, LLC
Practice Location Address:

1600 CRAIN HWY S , SUITE 301
GLEN BURNIE, MD
21061-5577

Practice Phone: 410-787-8315
Practice Fax: 410-787-8316

1538487582 — CENTER FOR PAIN MANAGEMENT, LLC
Practice Location Address:

1600 CRAIN HWY S , SUITE 301
GLEN BURNIE, MD
21061-5577

Practice Phone: 410-787-8315
Practice Fax: 410-787-8316

1255208138 — JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Practice Location Address:

802 LANDMARK DR STE 20
GLEN BURNIE, MD
21061-9100

Practice Phone: 410-760-8840
Practice Fax:

Directions to “ ERICKA CLARK FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.