Individual
LISA M CLARK
Active
Individual
LISA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380567
NYS LICIENCE NUMBER
NY
Enumeration date
06/09/2008
Last updated
06/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up