CHELSEA CLARK
NPI 1700500014
Nurse Practitioner - Family in Summerville, SC

Active since September 29, 2022
1452 BOONE HILL RD, SUMMERVILLE, SC 29483(843) 509-4415 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chelsea Clark NPPES

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

CHELSEA CLARK (NPI 1700500014) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (27234) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1700500014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEA CLARK
Location Address1452 BOONE HILL RDSummerville, SC 29483-2408
Mailing Address123 Garden Grove DrSummerville, SC 29485-8791 · (724) 996-4113
Sole ProprietorNo
Enumeration DateSeptember 29, 2022
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1700500014 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 SC · 27234
1452 BOONE HILL RD, Summerville, SC 29483

Other Providers at the Same Location NPPES

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

Registered Nurse
1452 BOONE HILL RD
SUMMERVILLE, SC 29483

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 Chelsea Clark's NPI number?

The NPI number for Chelsea Clark is 1700500014. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Chelsea Clark located?

Chelsea Clark practices at 1452 Boone Hill Rd, Summerville, SC 29483. The listed phone number is (843) 509-4415.

What is Chelsea 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 Chelsea Clark was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.