Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE CLARK, FNP
ActiveCHARLENE CLARK, FNP is a Family Nurse Practitioner healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1144621756 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1144621756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2014 (11.87559703333 yrs)
- Last Updated
- Jan 8, 2025
- Licenses
-
73782 (ID)19070 (TN)AP61098520 (WA)
Practice Information
- Address
-
120 DESERT SAGE WAYMOUNTAIN HOME, ID, 836471038Browse ID providers · Browse ZIP 83647
- Phone
- 2085873988
- Fax
- 2085873324
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| LINDA G SHAW | FNP | 1669561049 |
| DAWN D BEST | FNP | 1003049925 |
| MRS. MELANIE GILLILAND | FNP | 1730585878 |
| GENEVIEVE MARIE LEETHAM | APRN | 1669027793 |
| ROBIN AMBER NETTLETON | NP-C | 1336784081 |
| MELISSA MACLEAN | — | 1922707686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.