Ms Wanda Kaye Clark, FNP - Nurse Practitioner in Rock Hill, SC

Ms Wanda Kaye Clark, FNP is a Nurse Practitioner based in Rock Hill, South Carolina. Ms Wanda Kaye Clark is licensed to practice in South Carolina (license number 1484) and her current practice location is 1151 Camden Ave, Rock Hill, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 909-6363.

NPI number for Ms Wanda Kaye Clark is 1043213457 and her current mailing address is 1151 Camden Ave, Rock Hill, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043213457.

Contact Information

Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014
(803) 909-6363
(803) 909-6364



Provider's Profile

Full NameMs Wanda Kaye Clark
GenderFemale
SpecialityNurse Practitioner
Location1151 Camden Ave, Rock Hill, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043213457
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Ms Wanda Kaye Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043213457NPI-NPPES
GP3059MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1484 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Wanda Kaye Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014

Ph: (803) 909-6363
Ms Wanda Kaye Clark, FNP
1151 Camden Ave,
Rock Hill, SC 29732-3014

Ph: (803) 909-6363

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› Verified 5 days ago


Nurse Practitioner Nurses in Rock Hill, SC

Mrs. Mary Jo Barreto, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Winthrop University Health Services, Rock Hill, SC 29733
Phone: 803-323-2206    Fax: 803-323-3332
Marta Pacheco,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730
Phone: 540-797-4361    
Andrea Blakeman, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1131 Saluda St, Rock Hill, SC 29730
Phone: 803-325-7744    Fax: 803-325-1117
Sarah Elizabeth Christ, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 170 Amendment Ave, Rock Hill, SC 29732
Phone: 803-324-7607    Fax: 800-332-4409
Mr. Gerald Alfred Bracete, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730
Phone: 803-909-6363    
Sarah Lyn Ruhland, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732
Phone: 803-324-1950    Fax: 803-324-1933

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