- Practice location
- 4200 Fashion Square Blvd Ste 201, Saginaw, MI 48603-1375
- Phone
- 964-732-4854
- Fax
- —
- Last updated
- November 4, 2026
Susan Louise Clark is a Nurse Practitioner, Psych/Mental Health based in Saginaw, MI. Susan Louise Clark practices in Saginaw, MI and has the professional credentials of NP. The NPI Number for Susan Louise Clark is 1043525025 and holds a License No. 4704201015 (MI). The current practice location address for Susan Louise Clark is 4200 Fashion Square Blvd Ste 201, Saginaw, MI 48603-1375 and can be reached out via phone at 964-732-4854.
Provider Profile Details
- NPI Number
- 1043525025
- Provider Name
- Susan Louise Clark
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4200 Fashion Square Blvd Ste 201, Saginaw, MI 48603-1375
- Phone Number
- 964-732-4854
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 13, 2010
- Last Update Date
- November 4, 2026
- Certification Date
- November 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4200 Fashion Square Blvd Ste 201
Saginaw, MI 48603-1375 - City
- Saginaw
- State
- Michigan
- Zip
- 48603-1375
- Phone Number
- 964-732-4854
Provider Business Mailing Address Details
- Address
- 5701 Bow Pointe Dr
Suite 225
Clarkston, MI 48346-3198 - City
- Clarkston
- State
- MI
- Zip
- 48346-3198
- Phone Number
- 248-384-8300
- Fax Number
- 248-384-8309
License Information
- License Number (1)
- 4704201015
- License State (1)
- MI
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- 4704201015
- License State (2)
- MI
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Susan L Clark, NP?
The NPI number of Mrs. Susan L Clark, NP is 1043525025. It was assigned on August 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Susan L Clark, NP?
Mrs. Susan L Clark, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MI under license number 4704201015.
Where does Mrs. Susan L Clark, NP practice?
The practice location is 4200 Fashion Square Blvd Ste 201, Saginaw, MI 48603-1375. The office can be reached at 964-732-4854 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043525025 directly on the NPPES registry website.