Individual provider · Type 1 NPI
Meredith Renae Clark, APNP
Nurse Practitioner · Winston Salem, NC
Practice location
605 Cotton St
Winston Salem, NC 27101-5080
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3999-33 (WI) |
| Gerontology Nurse Practitioner | 363LG0600X | 3999 (WI) |
| Nurse Practitioner Primary | 363L00000X | 5010316 (NC) |
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 1063735504
Meredith Renae Clark, APNP's National Provider Identifier is 1063735504, issued on Mar 11, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 5, 2018.