Active NPIIndividual provider

Deborah A Clark, RN, CS, NP

Nurse Practitioner, Psych/Mental Health in Peabody, Massachusetts

NPI Number1396729331
Practice location
3 Essex Green Dr, Peabody, MA 01960-2913
Fax
781-334-4196
Last updated
July 13, 2026

Deborah A Clark is a Nurse Practitioner, Psych/Mental Health based in Peabody, MA. Deborah A Clark practices in Peabody, MA and has the professional credentials of RN, CS, NP. The NPI Number for Deborah A Clark is 1396729331 and holds a License No. 153934 (MA). The current practice location address for Deborah A Clark is 3 Essex Green Dr, Peabody, MA 01960-2913 and can be reached out via phone at 781-307-6094 and via fax at 781-334-4196.

Provider Profile Details

NPI Number
1396729331
Provider Name
Deborah A Clark
Credential
RN, CS, NP
Provider Entity Type
Individual
Gender
Female
Address
3 Essex Green Dr, Peabody, MA 01960-2913
Phone Number
781-307-6094
Fax Number
781-334-4196
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Essex Green Dr
Peabody, MA 01960-2913
Zip
01960-2913
Phone Number
781-307-6094
Fax Number
781-334-4196
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
21 Bishops Ln
Lynnfield, MA 01940-1340
City
Lynnfield
State
MA
Zip
01940-1340
Phone Number
781-334-3173

License Information

License Number
153934
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Deborah A Clark, RN, CS, NP?

The NPI number of Deborah A Clark, RN, CS, NP is 1396729331. It was assigned on December 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Deborah A Clark, RN, CS, NP?

Deborah A Clark, RN, CS, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 153934.

Where does Deborah A Clark, RN, CS, NP practice?

The practice location is 3 Essex Green Dr, Peabody, MA 01960-2913. The office can be reached at 781-307-6094 (phone) or 781-334-4196 (fax).

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 1396729331 directly on the NPPES registry website.

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