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NPI Code Detail

MEDICARE: CHELSEA CLARK RN-MSN

MEDICARE:   CHELSEA  CLARK  RN-MSN
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
1363LF0000XFamily Nurse Practitioner5024276NC
2163WC1600XContinuing Education/Staff Development Registered Nurse254205NC

General Provider Information

NPI Number : 1225763485
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA CLARK RN-MSN
Provider Business Mailing Address
First Line : 49 JEFF DR
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-8858
Country : US
Telephone Number : 828-702-2750
Fax Number :
Provider Business Practice Location Address
First Line : 295 LAFAYETTE ST # 7TH
Second Line :
City : NEW YORK
State : NY
Zip : 10012-2701
Country : US
Telephone Number : 855-613-0778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 04/07/2026

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Directions to “ CHELSEA CLARK RN-MSN” Practice Location

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