ANNIE CLARK
NPI 1629802772
Nurse Practitioner - Family in West Memphis, AR

Active since August 30, 2024
108 W TYLER AVE, WEST MEMPHIS, AR 72301(870) 732-1191 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie Clark NPPES

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

ANNIE CLARK (NPI 1629802772) is an individual family provider in West Memphis, Arkansas, licensed in Tennessee (36624) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1629802772
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNIE CLARK
Location Address108 W TYLER AVEWest Memphis, AR 72301-4221
Mailing Address108 W Tyler AveWest Memphis, AR 72301-4221 · (870) 732-1191
Sole ProprietorNo
Enumeration DateAugust 30, 2024
Last NPPES UpdateJanuary 26, 2025
NPPES CertifiedJanuary 26, 2025
NPI 1629802772 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 TN · 36624
108 W TYLER AVE, West Memphis, AR 72301

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Pediatrics
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Nurse Practitioner (Pediatrics)
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Nurse Practitioner
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Pediatrics
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Pediatrics
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Nurse Practitioner (Family)
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Pediatrics
108 W TYLER AVE
WEST MEMPHIS, AR 72301
Pediatrics
108 W TYLER AVE
WEST MEMPHIS, AR 72301

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 Annie Clark's NPI number?

The NPI number for Annie Clark is 1629802772. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Annie Clark located?

Annie Clark practices at 108 W Tyler Ave, West Memphis, AR 72301. The listed phone number is (870) 732-1191.

What is Annie Clark's specialty?

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

What insurance does Annie Clark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and UnitedHealthcare list Annie Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annie Clark was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.