MRS. ANNETTE ALDRIDGE CLARK (NPI# 1376901140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376901140 |
| Entity Type | Individual |
| Full Name | MRS. ANNETTE ALDRIDGE CLARK |
| Credential | CPNP |
| Practice Address |
2424 Erwin Rd Suite 504 Durham NC 27705-3824 |
| Mailing Address |
510 Stonecreek Dr Apex NC 27539-9733 |
| Practice Telephone | 9196815551 |
| Mailing Telephone | 5404209563 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5008320 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114584265 | Annette Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-05-23 |
| 1760982961 | Annette Marie Clark | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2018-02-15 |
| 1902022999 | Annette R. Clark | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-18 |
| 1407832488 | Annette L Clark | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2005-12-21 |
| Street Address |
2424 ERWIN RD SUITE 504 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386728293 | Ruediger Lehrich | Internal Medicine | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2006-10-25 |
| 1104182419 | Paul John Phelan | General Acute Care Hospital | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2012-04-11 |
| 1427327774 | Deanne Buschbach | Nurse Practitioner | 2424 Erwin Rd, Suite 500, Room 5027, Durham, NC 27705-3824 | 2011-12-15 |
| 1396034021 | Melissa Makar | Internal Medicine | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2011-04-04 |
| 1558524074 | Megan Jordan | Internal Medicine | 2424 Erwin Rd, Hock Plaza Suite 602 Room 6054, Durham, NC 27705-3824 | 2008-07-03 |
| 1164611489 | Pamela Winebrenner Gentry | Registered Nurse | 2424 Erwin Rd, Suite 1105, Room 11023, Durham, NC 27705-3824 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528511102 | Tara Lynn West | Nurse Practitioner | 2300 Erwin Rd, Durham, NC 27707 | 2016-07-29 |
| 1285017863 | Danielle Sturkey | Nurse Practitioner | 2301 Erwin Road Box 3090/duke North 7506, Durham, NC 27710-4642 | 2015-07-01 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1538438882 | Lori Christine Walczyk | Nurse Practitioner | 5524 Hospital N, 100500 Med Center, Durham, NC 27710-0001 | 2011-12-15 |
| 1619207032 | Brenda Ward Poirier | Nurse Practitioner | 2415 E Geer St, Glenn Elementary School Wellness Center, Durham, NC 27704-3717 | 2010-01-07 |
| 1558588640 | Christine Hiller | Nurse Practitioner | 1301 Erwin Rd, Dumc 3474, Durham, NC 27710-0001 | 2007-04-19 |
| 1033283643 | Ana Maria Fernandez | Nurse Practitioner | 200 Trent Dr Ste 110, Durham, NC 27710-2319 | 2006-11-17 |
| 1770697559 | Lisa Ellen Rasbach | Nurse Practitioner | 3000 Erwin Road Suite 200, Durham, NC 27710 | 2006-08-18 |
| 1245799733 | Melissa Anne Loyd | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-03-14 |
| 1083186050 | Kaitlin Campbell | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-01-01 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.