Individual provider · Type 1 NPI

Wendy S. Clark, FNP-BC

Nurse Practitioner · Fort Wayne, IN

NPI number 1366433526 Active

Practice location

1234 E. Dupont Rd., Suite 6
Fort Wayne, IN 46825-1545

Call (260) 480-2600 Map

Fax (260) 496-8077

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	71001332A (IN)

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 1366433526

Wendy S. Clark, FNP-BC's National Provider Identifier is 1366433526, issued on Nov 4, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 15, 2022.