Individual provider · Type 1 NPI
Robert Brandon Clark, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1104112788
Active
Practice location
101 E Wt Harris Blvd, Bldg 5000 Suite #5101
Charlotte, NC 28262-3485
Mailing address
5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491
Other practice locations
- 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-4490
- 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-1242
- 1830 Fordham Blvd Ste 100, Chapel Hill, NC 27514-2301 · (919) 364-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5005238 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5005238 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104112788
Robert Brandon Clark, FNP's National Provider Identifier is 1104112788, issued on Jun 22, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 5, 2024.