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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. WANDA KAYE CLARK FNP
NPI 1043213457
Nurse Practitioner in Rock Hill, SC

Active since May 31, 2005
1151 CAMDEN AVE, ROCK HILL, SC 29732(803) 909-6363(803) 909-6364 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Wanda Kaye Clark Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WANDA KAYE CLARK FNP (NPI 1043213457) is an individual nurse practitioner in Rock Hill, South Carolina, licensed in South Carolina (1484) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1043213457
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. WANDA KAYE CLARKCredential: FNP
Location Address1151 CAMDEN AVERock Hill, SC 29732-3014
Mailing Address1151 Camden AveRock Hill, SC 29732-3014 · (803) 909-6363 · Fax (803) 909-6364
Phone(803) 909-6363
Fax(803) 909-6364
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043213457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 1484
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1151 CAMDEN AVE, Rock Hill, SC 29732
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Other Names 1

Professional Name (2)Wanda Kaye Clark Fnp

Other Identifiers 1

MedicaidGP3059SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Clark's NPI number?

The NPI number for Wanda Clark is 1043213457. It was assigned to this individual provider in the NPPES registry on May 31, 2005. The provider is also known as Wanda Kaye Clark Fnp.

Where is Wanda Clark located?

Wanda Clark practices at 1151 Camden Ave, Rock Hill, SC 29732. The listed phone number is (803) 909-6363.

What is Wanda Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wanda Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.