Individual provider · Type 1 NPI
Kelly Clark
Nurse Practitioner · Irmo, SC
Practice location
11134 Broad River Rd Ste D
Irmo, SC 29063-7616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | 25865 (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…
Other nurse practitioner providers in Irmo
About NPI 1639840580
Kelly Clark's National Provider Identifier is 1639840580, issued on Sep 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irmo, SC. The record was last updated on Mar 7, 2022.