BRANDY CLARK (NPI# 1902405095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902405095 |
| Entity Type | Individual |
| Full Name | BRANDY CLARK |
| Credential | PMHNP-BC |
| Practice Address |
2511 Old Cornwallis Rd Ste 200 Durham NC 27713-1869 |
| Mailing Address |
20 Fairway Dr Lexington NC 27292-5431 |
| Practice Telephone | 8440325700 |
| Mailing Telephone | 3365611029 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5013693 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505688 | Brandy B Clark | Adult Companion | 11927 Sonora Springs Dr, Tomball, TX 77375-1760 | 2020-07-17 |
| 1669019600 | Brandy Lee Clark | Nurse Practitioner | 1575 Chattanooga Ave Ste 1, Dalton, GA 30720-2672 | 2019-12-10 |
| Street Address |
2511 OLD CORNWALLIS RD STE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111057 | Vivian Jill Lowery | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713 | 2005-08-17 |
| 1124627112 | Darby Shea Mccall | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-10-21 |
| 1750997896 | Laura Camille Schnoor | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-09-22 |
| 1386254068 | Courtney Elisabeth Frady | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-08-06 |
| 1053920181 | Candice Ann Hayes | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-07-24 |
| 1447876396 | Emily Cline | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-06-17 |
| 1336763176 | Fatoumata Bah | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-06-07 |
| 1134740137 | Traci Gregory | Registered Nurse | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-04-30 |
| 1922631423 | Rachel Hargis | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-02-13 |
| 1972135267 | Kayce Jones | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1518401595 | Lisa Milliger | Nurse Practitioner | 402 Chapel Dr, 214 Page Building, Box 90955, Durham, NC 27708-0955 | 2016-12-12 |
| 1992255871 | Jennifer Sherburne | Nurse Practitioner | 21 Woodman Rd, Durham, NH 03824-2208 | 2016-10-04 |
| 1760702062 | Cheryl Lynnette Giscombe | Nurse Practitioner | 5221 Malik Dr, Durham, NC 27703-9375 | 2010-06-09 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1073137030 | Elizabeth R Ward | Nurse Practitioner | 4102 Ben Franklin Blvd, Durham, NC 27704-2140 | 2020-06-04 |
| 1174162671 | Matthew Hobbs | Nurse Practitioner | 2213 Elba St, Durham, NC 27705-3934 | 2019-12-31 |
| 1164063566 | Annmarie V Earnhardt | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2019-10-07 |
| 1932750593 | Shalon Evette Bobbitt | Nurse Practitioner | 6011 Fayetteville Rd, Durham, NC 27713-6248 | 2019-09-25 |
| 1720638257 | Christine Yeagley | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2019-09-17 |
| 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.