AMY MARIE CLARK IDC
NPI 1558707984
Military Health Care Provider - Independent Duty Corpsman in Suffolk, VA

Q: What is Amy Clark's NPI number?

The NPI number for Amy Clark is 1558707984. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Q: What is Amy Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on May 13, 2013. 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 May 13, 2013

260 BARNES RD, SUFFOLK, VA 23437(757) 652-1981 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Amy Marie Clark Idc NPPES

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

AMY MARIE CLARK IDC (NPI 1558707984) is an individual independent duty corpsman provider in Suffolk, Virginia and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1558707984

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameAMY MARIE CLARKCredential: IDC

Location Address260 BARNES RDSuffolk, VA 23437

Mailing Address260 Barnes RdSuffolk, VA 23437 · (757) 652-1981

Phone(757) 652-1981

Sole ProprietorYes

Enumeration DateMay 13, 2013

✔ NPI 1558707984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

260 BARNES RD, Suffolk, VA 23437

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Other Identifiers 1

Other1710-1002XIdc

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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1558707984. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Amy Clark located?

Amy Clark practices at 260 Barnes Rd, Suffolk, VA 23437. The listed phone number is (757) 652-1981.

What is Amy Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on May 13, 2013. 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.