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IVORY CLARK
NPI 1528877891
Specialist in Moorhead, MN

Active since January 02, 2025
1505 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ivory Clark NPPES

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

IVORY CLARK (NPI 1528877891) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1528877891
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameIVORY CLARK
Location Address1505 30TH AVE SMoorhead, MN 56560-5149
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1528877891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1505 30TH AVE S, Moorhead, MN 56560
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Other Providers at the Same Location NPPES 20

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

GRACIE SCHILLING
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 282-5299
AVERY MERSCHMAN
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
EMILEE BEACK
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
RYAN VANHOUSE
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
NICHOLAS JACKSON
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
CHRISTOPHER HANSON
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
HODAN MOHOMED
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
TETA DOE
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338

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 Ivory Clark's NPI number?

The NPI number for Ivory Clark is 1528877891. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Ivory Clark located?

Ivory Clark practices at 1505 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.

What is Ivory Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ivory Clark was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.