Individual provider · Type 1 NPI

Christopher Wayne Clark, AGNP

Nurse Practitioner · West Columbia, SC

NPI number 1174455463 Active

Practice location

131 Sunset Ct
West Columbia, SC 29169-2429

Fax (803) 796-7839

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X32311 (SC)

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 1174455463

Christopher Wayne Clark, AGNP's National Provider Identifier is 1174455463, issued on Jun 1, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Columbia, SC. The record was last updated on Jul 24, 2026.