Individual provider · Type 1 NPI

Allison Clark

Family Nurse Practitioner · Southport, NC

NPI number 1750945366 Active

Practice location

5130 Southport Supply Rd SE
Southport, NC 28461-9261

Call (910) 269-2053 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5022987 (NC)
Nurse Practitioner 363L00000XSP020248 (PA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1750945366

Allison Clark's National Provider Identifier is 1750945366, issued on Apr 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southport, NC. The record was last updated on Apr 15, 2026.