Individual provider · Type 1 NPI

Kristen Clark

Family Nurse Practitioner · Okatie, SC

NPI number 1124902309 Active

Practice location

122 Okatie Center Blvd N Ste 240
Okatie, SC 29909-3782

Call (843) 832-7925 Map

Mailing address

9 Chestnut St
Beaufort, SC 29906-2414

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X30794 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1124902309

Kristen Clark's National Provider Identifier is 1124902309, issued on Aug 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Okatie, SC. The record was last updated on Aug 1, 2025.