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Mrs. Crystal B Clark, FNP-C
Family Medicine Physician in Lancaster, South Carolina
NPI 1154898179

Crystal B Clark is a Family Medicine Physician based in Lancaster, SC. Crystal B Clark practices in Lancaster, SC and has the professional credentials of FNP-C. The NPI Number for Crystal B Clark is 1154898179 and holds a License No. 22378 (South Carolina).

The current practice location address for Crystal B Clark is 114 S Main St, Lancaster, SC and can be reached out via phone at 803-286-7555 and via fax at 989-214-7326.

Location: 114 S Main St, Lancaster, SC, 29720-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154898179
Provider Name
Crystal B Clark
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
114 S Main St, Lancaster, SC, 29720-2442
Phone Number
803-286-7555
Fax Number
989-214-7326
Provider Enumeration Date
10/29/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP5853 05 SC
22378 01 SC APRN LICENSURE
5422378 01 SC CONTROLLED SUBSTANCE LICENSURE
institution
Provider Business Practice Location Address Details
Address
114 S Main St
City
Lancaster
State
South Carolina
Zip
29720-2442
Phone Number
803-286-7555
Fax Number
989-214-7326
person
Provider Business Mailing Address Details
Address
114 S Main St
City
Lancaster
State
South Carolina
Zip
29720-2442
Phone Number
803-286-7555
Fax Number
989-214-7326
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22378 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
22378 (South Carolina)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
22378 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22378 (South Carolina)
Definition
Definition to come...
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