Nellda Clark, CRNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 30, 2005

Quick Facts

NPI Number
1407853880
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LA2100X — Nurse Practitioner
Phone
(334) 265-7075
StateAL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1407853880)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 30, 2005)
Data source: CMS NPPES

Provider Overview

NELLDA CLARK, CRNP is a Nurse Practitioner provider based in Montgomery, AL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1407853880
Provider TypeIndividual Provider
GenderFemale
CredentialCRNP
StatusActive
Enumeration DateJune 30, 2005

Practice Location

CityMontgomery
StateAL
ZIP Code36117-3588
Phone(334) 265-7075

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LA2100X
License StateAL

Mailing Address

CityMontgomery
StateAL
ZIP Code36117-3588
Phone(334) 265-7075
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1407853880 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1407853880for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1407853880 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
📊
25,422
Nurse Practitioner Providers in the US

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People Also Ask

What is Nellda Clark's NPI number?
Nellda Clark's NPI number is 1407853880, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Nellda Clark's NPI currently active?
Yes, Nellda Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Nellda Clark specialize in?
Nellda Clark specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LA2100X.
Where does Nellda Clark practice?
Nellda Clark practices in Montgomery, AL 36117-3588.
When was Nellda Clark's NPI issued?
Nellda Clark's NPI was issued on June 30, 2005.
What is Nellda Clark's provider type?
Nellda Clark is registered as an Individual Provider under CMS NPI Type 1.