Individual
KATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
940 GOLF HOUSE CT E, WHITSETT, NC 27377-9296
(336) 449-9838
Mailing address
2004 OTTER CREEK DR, WHITSETT, NC 27377-9322
(918) 691-1134
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5008338
NC
363LP2300X
Primary Care Nurse Practitioner
234589
NC
Other
Enumeration date
02/03/2016
Last updated
04/13/2026
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