Individual provider · Type 1 NPI

Ronnie Mashette Clark, CRNP

Family Medicine Physician · Pocomoke City, MD

NPI number 1114762689 Active

Practice location

PO Box 171
Pocomoke City, MD 21851-0171

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR203521 (MD)
Family Medicine Physician Primary 207Q00000XR203521 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114762689

Ronnie Mashette Clark, CRNP's National Provider Identifier is 1114762689, issued on Jun 27, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pocomoke City, MD. The record was last updated on Jan 15, 2026.