MR. MARK ALLEN CLARK
NPI 1407903693
Nurse Practitioner - Pediatrics in Fredericksburg, VA

Q: What is Mark Clark's NPI number?

The NPI number for Mark Clark is 1407903693. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Mark Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since January 03, 2007

111 PARK HILL DR # A, FREDERICKSBURG, VA 22401(540) 368-1044 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mark Allen Clark NPPES

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

MR. MARK ALLEN CLARK (NPI 1407903693) is an individual pediatrics provider in Fredericksburg, Virginia, licensed in Virginia (0024166868) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407903693

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameMR. MARK ALLEN CLARK

Location Address111 PARK HILL DR # AFredericksburg, VA 22401-3357

Mailing Address22445 Conservancy DrAshburn, VA 20148-8068 · (540) 368-1044 · Fax (540) 368-1033

Phone(540) 368-1044

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateNovember 7, 2012

✔ NPI 1407903693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in VA · 0024166868

111 PARK HILL DR # A, Fredericksburg, VA 22401

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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 Mark Clark's NPI number?

The NPI number for Mark Clark is 1407903693. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Mark Clark located?

Mark Clark practices at 111 Park Hill Dr # A, Fredericksburg, VA 22401. The listed phone number is (540) 368-1044.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.