Individual provider · Type 1 NPI

Mary Kathlyn Clark, FNP

Nurse Practitioner · Greenville, SC

NPI number 1699846436 Active

Practice location

620 C Congaree Rd
Greenville, SC 29607

Fax (864) 254-9896

Mailing address

103 Lichen Dr
Williamston, SC 29697-8514

Other practice locations

  • 518 Pumpkintown Rd, Marietta, SC 29661-9526 · (864) 250-6169
  • 512 Pumpkintown Rd, Marietta, SC 29661-9526 · (864) 250-5320
  • 1500 Highway 29 S, Anderson, SC 29626-3038 · (864) 231-6000
  • 290 Old Anderson Rd., Pendleton, SC 29670 · (864) 646-4121

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN1171 (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 1699846436

Mary Kathlyn Clark, FNP's National Provider Identifier is 1699846436, issued on Nov 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenville, SC. The record was last updated on Apr 23, 2019.