Individual provider · Type 1 NPI

Mandy Clark, NP

Nurse Practitioner · Elmira, NY

NPI number 1740616846 Active

Practice location

600 Roe Ave Ste 1A
Elmira, NY 14905-1676

Call (607) 737-4130 Map

Fax (607) 737-4530

Mailing address

571 Saint Josephs Blvd Fl 2
Elmira, NY 14901-3230

Other practice locations

  • 1 Medical Center Blvd, Cookeville, TN 38501-4294 · (931) 528-2541

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0000021347 (TN)
Nurse Practitioner Primary 363L00000X338054 (NY)

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 1740616846

Mandy Clark, NP's National Provider Identifier is 1740616846, issued on Sep 20, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmira, NY. The record was last updated on Sep 29, 2021.