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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Home Health Registered Nurse Primary | 163WH0200X | None 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.