1. Home
  2. Directory
  3. Florida
  4. Fort Myers
  5. Nurse Practitioner
  6. NPI Profile

CAROL D. CLARK ARNP, BC
NPI 1457423055
Nurse Practitioner - Gerontology in Fort Myers, FL

Active since November 15, 2006
13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908(239) 466-1111(239) 454-2111 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2022, Jan 30, 2020, Feb 4, 2019 and 1 more (4 updates tracked since 2018).

About Carol D. Clark Arnp, Bc NPPES

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

CAROL D. CLARK ARNP, BC (NPI 1457423055) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (ARNP9191162) and active in the NPI registry since November 2006. She maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1457423055
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCAROL D. CLARKCredential: ARNP, BC
Location Address13880 SHELL POINT PLAZA, SUITE 110Fort Myers, FL 33908-3504
Mailing Address13880 Shell Point Plaza, Suite 110Fort Myers, FL 33908-3504 · (239) 454-2146 · Fax (239) 454-2111
Phone(239) 466-1111
Fax(239) 454-2111
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateFebruary 14, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1457423055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · ARNP9191162
13880 SHELL POINT PLAZA, Fort Myers, FL 33908
Open in Google Maps ↗

Secondary Practice Location 1

Location 115051 Shell Point BlvdFort Myers, FL 33908-1639 · Phone (239) 454-2146 · Fax (239) 454-2111

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS THOMAS CALDRONE JR. FNP
Nurse Practitioner (Family)
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111
KATHY A. FRATRICK
Social Worker (Clinical)
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111
KATHY THOMPSON MD
Family Medicine
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111
PARTNERS PHARMACY SHELL POINT LLC
Pharmacy (Community/Retail Pharmacy)
13880 SHELL POINT PLAZA, SUITE 130
FT MYERS, FL 33908
Lee County (239) 432-2400
ROCIO CAMPBELL
Nurse Practitioner (Acute Care)
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
General Practice
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111
MRS. AMY JO DUDLEY ARNP
Nurse Practitioner (Family)
13880 SHELL POINT PLAZA, SUITE 200
FORT MYERS, FL 33908
Lee County (239) 466-1111
GARY A GOFORTH MD
Family Medicine
13880 SHELL POINT PLAZA, SUITE 110
FORT MYERS, FL 33908
Lee County (239) 466-1111

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 Carol Clark's NPI number?

The NPI number for Carol Clark is 1457423055. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Carol Clark located?

Carol Clark practices at 13880 Shell Point Plaza Suite 110, Fort Myers, FL 33908. The listed phone number is (239) 466-1111.

What is Carol Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Carol Clark was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.