MR. NATHAN BLAINE CLARK


Address: 310 W 5th St, Benton, KY 42025-1102
Phone: 2709062444

MR. NATHAN BLAINE CLARK (NPI# 1578853883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578853883
Entity Type Individual
Full Name MR. NATHAN BLAINE CLARK
Credential APRN
Practice Address 310 W 5th St
Benton
KY 42025-1102
Mailing Address 300 S 8th St
Suite 480w
Murray
KY 42071-2400
Practice Telephone 2709062444
Mailing Telephone 2709062444
Enumeration Date 2011-04-08
Last Update Date 2011-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3006900 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY ARNP LICENSE 3006900 01

Other Providers NATHAN CLARK

NPI Name Taxonomy Address Enumeration
1891150843 Nathan Clark Physical Therapy Assistant 404 Olive St, Atlantic, IA 50022-1363 2015-12-17
1053664250 Nathan M Clark Chiropractor 597 S Main St Ste A, Ukiah, CA 95482-4988 2012-10-25
1629684873 Nathan Clark Chiropractor 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 2020-09-22
1366097958 Nathan C Clark Physical Therapy Assistant 4617 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2937 2019-08-09
1932763570 Nathan Clark Physical Therapist 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 2019-04-29
1881172195 Nathan Edward Clark Behavioral Analyst 4433 W Touhy Ave Ste 335, Lincolnwood, IL 60712-1820 2018-07-30
1699126508 Nathan Daniel Clark Specialist/Technologist 5701 Delhi Rd, Cincinnati, OH 45233-1669 2016-06-22
1538576798 Nathan Daniel Clark Pharmacist 5100 Library Rd, Bethel Park, PA 15102-2829 2014-07-18
1588898373 Nathan A Clark Podiatrist 100 Jackson Pike, Gallipolis, OH 45631-1560 2009-05-07
1528267721 Nathan Clark Pharmacy Technician 280 Exempla Cir, Lafayette, CO 80026-3370 2007-07-17

Office Location

Street Address 310 W 5TH ST
City BENTON
State KY
Zip Code 42025-1102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801839477 Michael Lynn Hayes Optometrist 310 W 5th St, Benton, KY 42025-1102 2006-06-13
1659972115 Stephanie Lynne Evans Pharmacist 310 W 5th St, Benton, KY 42025-1102 2020-11-02
1255931879 Rhonda Goins Pharmacist 310 W 5th St, Benton, KY 42025-1102 2020-11-01
1487254496 Kayla Alexander Pharmacist 310 W 5th St, Benton, KY 42025-1102 2020-10-28
1578005146 Lauren Nicole Ford Pharmacist 310 W 5th St, Benton, KY 42025-1102 2016-11-13
1306928247 Wal-mart Stores East, Lp Technician/Technologist 310 W 5th St, Benton, KY 42025-1102 2006-10-19
1437176757 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 310 W 5th St, Benton, KY 42025-1102 2006-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073862843 Elisha Dougherty Pharmacist 1004 Big Bear Hwy, Benton, KY 42025 2012-09-07
1730310285 Benton Chiropractic, Pllc Chiropractor 141 Commerce Blvd, Benton, KY 42025 2009-07-31
1689813594 Murray Calloway County Public Hospital Internal Medicine 543 Powell St, Benton, KY 42025 2009-02-17
1912159864 William J Barabas Physical Therapist 244 Us Hwy 68 East, Benton, KY 42025 2008-10-22
1447419031 Mary Jane Darnell Occupational Therapy Assistant 2607 Main Street, Benton, KY 42025 2008-06-09
1710176540 Karen Diane Reed Counselor 198 Old Symsonia Road, Suite 107, Benton, KY 42025 2007-10-17
1255475794 Community Alternatives Kentucky, Inc. Home Health 402 Caky Drive, Benton, KY 42025 2007-02-17
1477605988 Marshall County Medical Associates Family Medicine 145 Vine Street, Benton, KY 42025 2007-01-17
1376604256 Marshall County Assn. for Exceptional Children and Adults, Inc Day Training, Developmentally Disabled Services 198 Old Symsonia Road, Benton, KY 42025 2006-12-13
1023111929 Benton Health Care, LLC Nurse Practitioner 414 East 12th Street, Benton, KY 42025 2006-09-06
Find all providers in zip 42025

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710525720 Melanie Mabry Nurse Practitioner 11510 State Highway 298, Benton, AR 72019 2019-12-20
1538625900 Morgan Dyanne Colson Nurse Practitioner 1576 Brookshire Dr, Benton, AR 72019-9547 2019-02-11
1639648041 Laurie Jeannette Kerschner Nurse Practitioner 166 Wellivers Hill Rd, Benton, PA 17814-8131 2018-11-14
1790253326 Seth Alexander Weisheit Nurse Practitioner 824 Military Road, Benton, AR 72015 2018-11-13
1982171484 Reanna Christine Hargrove Nurse Practitioner 2314 Olive Creek Rd, Benton, KY 42025-4208 2018-11-01
1710474093 Carmacare Inc Nurse Practitioner 2408 Military Rd, Benton, AR 72015-2743 2018-04-23
1366950693 Blake Borders Nurse Practitioner 222 Bland St, Benton, MO 63736-9206 2018-01-22
1063920452 Pamela Ann Bates Nurse Practitioner 824 Military Rd, Benton, AR 72015-3347 2018-01-19
1023525490 Kortney Kai Spann Nurse Practitioner 4110 Darla Dr, Benton, AR 72015-6299 2018-01-05
1548791510 Monica Suzanne Williams Nurse Practitioner 10676 Hinds Rd, Benton, AR 72019-9442 2017-03-22
Find all providers in BENTON

Competitor

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City BENTON
Zip Code 42025

Improve Information

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Dataset Information

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.

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