Individual provider · Type 1 NPI

Terri Lee Clark, RN

Home Health Registered Nurse · Grand Chute, WI

NPI number 1942372966 Active

Practice location

1505 N Rynders St
Grand Chute, WI 54914-1614

Fax (920) 993-8445

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Home Health Registered Nurse Primary 163WH0200XNone listed

Home Health Registered Nurse: Definition to come...

About NPI 1942372966

Terri Lee Clark, RN's National Provider Identifier is 1942372966, issued on Nov 14, 2006. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Grand Chute, WI. The record was last updated on Sep 11, 2025.