Individual provider · Type 1 NPI
Wanda Kaye Clark, FNP
Nurse Practitioner · Rock Hill, SC
Practice location
1151 Camden Ave
Rock Hill, SC 29732-3014
Fax (803) 909-6364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1484 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1043213457
Wanda Kaye Clark, FNP's National Provider Identifier is 1043213457, issued on May 31, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rock Hill, SC. The record was last updated on Jul 13, 2026.