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MS. MARY KATHLYN CLARK FNP
NPI 1699846436
Nurse Practitioner in Greenville, SC

Active since November 13, 2006
620 C CONGAREE RD, GREENVILLE, SC 29607(864) 254-9477(864) 254-9896 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Kathlyn Clark Fnp NPPES

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

MS. MARY KATHLYN CLARK FNP (NPI 1699846436) is an individual nurse practitioner in Greenville, South Carolina, licensed in South Carolina (APN1171) and active in the NPI registry since November 2006. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699846436
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY KATHLYN CLARKCredential: FNP
Location Address620 C CONGAREE RDGreenville, SC 29607
Mailing Address103 Lichen DrWilliamston, SC 29697-8514 · (864) 840-9128 · Fax (864) 231-9468
Phone(864) 254-9477
Fax(864) 254-9896
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 23, 2019
✔ NPI 1699846436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · APN1171
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
620 C CONGAREE RD, Greenville, SC 29607
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Secondary Practice Locations 4

Location 1518 Pumpkintown RdMarietta, SC 29661-9526 · Phone (864) 250-6169 · Fax (864) 250-6222
Location 2512 Pumpkintown RdMarietta, SC 29661-9526 · Phone (864) 250-5320 · Fax (864) 250-5390
Location 31500 Highway 29 SAnderson, SC 29626-3038 · Phone (864) 231-6000 ext. 8909 · Fax (864) 231-6498
Location 4290 Old Anderson Rd.Pendleton, SC 29670 · Phone (864) 646-4121

Other Identifiers 1

MedicaidNP0553SC

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1699846436. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Mary Clark located?

Mary Clark practices at 620 C Congaree Rd, Greenville, SC 29607. The listed phone number is (864) 254-9477.

What is Mary Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.