Individual provider · Type 1 NPI

Leslie A. Clark, APRN

Nurse Practitioner · Port Orange, FL

NPI number 1700482163 Active

Practice location

1730 Dunlawton Ave Ste 1
Port Orange, FL 32127-8986

Other practice locations

  • 161 N Causeway Ste C, New Smyrna Beach, FL 32169-5300 · (386) 424-8440

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11009779 (FL)

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…

3 other providers at this address

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About NPI 1700482163

Leslie A. Clark, APRN's National Provider Identifier is 1700482163, issued on Dec 9, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Orange, FL. The record was last updated on Oct 3, 2022.