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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLENE CLARK, FNP

Active

CHARLENE 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 WAY
MOUNTAIN HOME, ID, 836471038
Browse 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.