Individual provider · Type 1 NPI
Rachel Leah Clark, FNP-C
Family Nurse Practitioner · Palm Bay, FL
NPI number
1629855036
Active
Practice location
369 Deer Run Rd
Palm Bay, FL 32909-1125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9235916 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | F07230175 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629855036
Rachel Leah Clark, FNP-C's National Provider Identifier is 1629855036, issued on Sep 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Bay, FL. The record was last updated on Sep 11, 2023.