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HAILEY A. CLARK FNP-C LLC
NPI 1689269177
Clinic/Center - Health Service in Idaho Falls, ID

Active since March 05, 2021
814 PANCHERI DR, IDAHO FALLS, ID 83402(208) 223-1049 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hailey A. Clark Fnp-c Llc NPPES

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

HAILEY A. CLARK FNP-C LLC (NPI 1689269177) is a healthcare organization registered as a health service in Idaho Falls, Idaho and active in the NPI registry since March 2021. The organization lists Hailey Anne Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1689269177
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameHAILEY A. CLARK FNP-C LLC
Location Address814 PANCHERI DRIdaho Falls, ID 83402-3344
Mailing Address4060 Duane StIdaho Falls, ID 83401-1846 · (208) 223-1049
Phone(208) 223-1049
Organization SubpartNo
Authorized OfficialHailey Anne ClarkOwner · (208) 223-1049
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1689269177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
814 PANCHERI DR, Idaho Falls, ID 83402
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Other Providers at the Same Location NPPES

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

EYEBALL LLC
Optometrist
814 PANCHERI DR
IDAHO FALLS, ID 83402
Bonneville County (208) 715-8880

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 Hailey A. Clark Fnp-C LLC's NPI number?

The NPI number for Hailey A. Clark Fnp-C LLC is 1689269177. It was assigned to this organization in the NPPES registry on March 5, 2021.

Where is Hailey A. Clark Fnp-C LLC located?

Hailey A. Clark Fnp-C LLC is located at 814 Pancheri Dr, Idaho Falls, ID 83402. The listed phone number is (208) 223-1049.

What is Hailey A. Clark Fnp-C LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Hailey A. Clark Fnp-C LLC was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.