Individual provider · Type 1 NPI

Nicholas Lee Clark, PA

Physician Assistant · Lexington, KY

NPI number 1063148708 Active

Practice location

1000 S Limestone
Lexington, KY 40536

Call (859) 323-9057 Map

Fax (859) 323-9502

Mailing address

2854 NE Hickory Ridge Ave
Jensen Beach, FL 34957-4865

Other practice locations

  • 200 SE Hospital Ave, Stuart, FL 34994-2346 · (772) 287-5200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063148708

Nicholas Lee Clark, PA's National Provider Identifier is 1063148708, issued on Jul 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on May 22, 2025.