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MR. NATHAN BLAINE CLARK APRN
NPI 1578853883
Nurse Practitioner - Family in Murray, KY

Active since April 08, 2011
400 INDUSTRIAL ROAD, SUITE A, MURRAY, KY 42071(270) 761-9355(270) 761-9356 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nathan Blaine Clark Aprn NPPES

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

MR. NATHAN BLAINE CLARK APRN (NPI 1578853883) is an individual family provider in Murray, Kentucky, licensed in Kentucky (3006900) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1578853883
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NATHAN BLAINE CLARKCredential: APRN
Location Address400 INDUSTRIAL ROAD, SUITE AMurray, KY 42071
Mailing Address2004 Melrose DrMurray, KY 42071-4700 · (270) 293-0443 · Fax (270) 761-9356
Phone(270) 761-9355
Fax(270) 761-9356
Sole ProprietorYes
Enumeration DateApril 8, 2011
Last NPPES UpdateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1578853883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3006900
400 INDUSTRIAL ROAD, Murray, KY 42071
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Other Identifiers 1

Other3006900KY · Arnp License

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 Nathan Clark's NPI number?

The NPI number for Nathan Clark is 1578853883. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Nathan Clark located?

Nathan Clark practices at 400 Industrial Road Suite A, Murray, KY 42071. The listed phone number is (270) 761-9355.

What is Nathan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nathan Clark was last updated on February 18, 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.