Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS CRYSTAL B CLARK, FNP-C
ActiveMISS CRYSTAL B CLARK, FNP-C is a Family Medicine healthcare provider located in PAGELAND, South Carolina. NPI 1154898179 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PAGELAND, SC
Registration Details
- NPI Number
- 1154898179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2018 (7.7878374725144 yrs)
- Last Updated
- Mar 8, 2026
- Licenses
-
22378 (SC)22378 (SC)
Practice Information
- Address
-
211 S PEARL ST STE BPAGELAND, SC, 297282261Browse SC providers · Browse ZIP 29728
- Phone
- 8032889495
- Fax
- 9892147326
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.