CHANDRA H. CLARK RN, CDCES
NPI 1649868217
Registered Nurse - Diabetes Educator in Blackstone, VA

Q: What is Chandra Clark's NPI number?

The NPI number for Chandra Clark is 1649868217. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Q: What is Chandra Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Q: When was this NPI record last updated?

The NPPES record for Chandra Clark was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 08, 2021

11106 HAWKES LANE, BLACKSTONE, VA 23824(757) 327-1817 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Chandra H. Clark Rn, Cdces NPPES

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

CHANDRA H. CLARK RN, CDCES (NPI 1649868217) is an individual diabetes educator provider in Blackstone, Virginia, licensed in Virginia (0001157171) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1649868217

Entity TypeIndividualFemale

Primary Taxonomy163WD0400X

Provider Legal NameCHANDRA H. CLARKCredential: RN, CDCES

Location Address11106 HAWKES LANEBlackstone, VA 23824

Mailing Address11106 Hawkes LaneBlackstone, VA 23824 · (757) 327-1817

Phone(757) 327-1817

Sole ProprietorYes

Enumeration DateJanuary 8, 2021

NPPES CertifiedNovember 30, 2020

✔ NPI 1649868217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in VA · 0001157171

11106 HAWKES LANE, Blackstone, VA 23824

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Chandra Clark's NPI number?

The NPI number for Chandra Clark is 1649868217. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Chandra Clark located?

Chandra Clark practices at 11106 Hawkes Lane, Blackstone, VA 23824. The listed phone number is (757) 327-1817.

What is Chandra Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Chandra Clark was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.