Amanda L Clark, RN, BSN
Nurse Practitioner, Pediatrics in Charleston, South Carolina
1225666035- Practice location
- 1871 Savage RD, Charleston, SC 29407-4726
- Phone
- 843-766-6308
- Fax
- —
- Last updated
- November 1, 2024
Amanda Louise Clark is a Nurse Practitioner, Pediatrics based in Charleston, SC. Amanda Louise Clark practices in Charleston, SC and has the professional credentials of RN, BSN. The NPI Number for Amanda Louise Clark is 1225666035 and holds a License No. 246707 (SC). The current practice location address for Amanda Louise Clark is 1871 Savage RD, Charleston, SC 29407-4726 and can be reached out via phone at 843-766-6308.
Provider Profile Details
- NPI Number
- 1225666035
- Provider Name
- Amanda Louise Clark
- Credential
- RN, BSN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1871 Savage RD, Charleston, SC 29407-4726
- Phone Number
- 843-766-6308
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 28, 2020
- Last Update Date
- November 1, 2024
- Certification Date
- October 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1871 Savage RD
Charleston, SC 29407-4726 - City
- Charleston
- State
- South Carolina
- Zip
- 29407-4726
- Phone Number
- 843-766-6308
Provider Business Mailing Address Details
- Address
- Po Box 23321
New York, NY 10087-4321 - City
- New York
- State
- NY
- Zip
- 10087-4321
- Phone Number
- 614-632-4049
License Information
- License Number (1)
- 246707
- License State (1)
- SC
- Taxonomy (1)
- Registered Nurse, Pediatrics · 163WP0200X
- License Number (2)
- 26661
- License State (2)
- SC
- Taxonomy (2)
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
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 Amanda L Clark, RN, BSN?
The NPI number of Amanda L Clark, RN, BSN is 1225666035. It was assigned on March 28, 2020 and is currently active in the NPPES registry.
What is the specialty of Amanda L Clark, RN, BSN?
Amanda L Clark, RN, BSN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in SC under license number 246707.
Where does Amanda L Clark, RN, BSN practice?
The practice location is 1871 Savage RD, Charleston, SC 29407-4726. The office can be reached at 843-766-6308 (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 1225666035 directly on the NPPES registry website.