Laura R Clark (NPI# 1831484013, PAC ID# 8527246867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831484013 |
| PAC ID by PECOS | 8527246867 |
| Professional Enrollment ID | I20110711000059 |
| Full Name | Laura R Clark |
| Organization Legal Name | JAMES S TRIMBLE MD PA |
| Address |
551616 Us Hwy 1 Hilliard FL 32046-8281 |
| Phone Number | 9042764500 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244500544 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 551616 Us Hwy 1, Hilliard, FL 32046-8281 | 9042764500 | JAMES S TRIMBLE MD PA |
| 2055 Professional Ctr Dr, Orange Park, FL 32073-4461 | 9042764500 | JAMES S TRIMBLE MD PA |
| Organization Legal Name | JAMES S TRIMBLE MD PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Lynn Riegner | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| James Scott Trimble | Dermatology | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Scarlet F Encina | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Street Address |
551616 US HWY 1 |
| City | HILLIARD |
| State | FL |
| Zip | 32046-8281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Lynn Riegner | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Amanda Lee West | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Jack William Mounce | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Kimberly Jo Bravo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| James Scott Trimble | Dermatology | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Scarlet F Encina | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Fitzgibbon | Clinical Social Worker | Cotler Healthcare and Development Inc | 554820 Us Hwy 1, Hilliard, FL 32046-2846 |
| City | HILLIARD |
| Zip Code | 32046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HILLIARD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laura R Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.