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SUEANNE CLARK NP
NPI 1841449113
Nurse Practitioner in Charlotte, NC

Active since September 11, 2008
6025 BLAKENEY PARK DR, STE 100, CHARLOTTE, NC 28277(704) 667-4480 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2019, Dec 6, 2019, Nov 22, 2019 and 23 more (26 updates tracked since 2018).

About Sueanne Clark Np NPPES

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

SUEANNE CLARK NP (NPI 1841449113) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5004696) and active in the NPI registry since September 2008. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1841449113
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUEANNE CLARKCredential: NP
Location Address6025 BLAKENEY PARK DR, STE 100Charlotte, NC 28277-5703
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 667-4480
Sole ProprietorNo
Enumeration DateSeptember 11, 2008
Last NPPES UpdateDecember 20, 201926 updates tracked since enumeration
✔ NPI 1841449113 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 NC · 5004696
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.
6025 BLAKENEY PARK DR, Charlotte, NC 28277
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Secondary Practice Locations 4

Location 17810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 214214 Ballantyne Lake Rd, STE 100Charlotte, NC 28277-3372 · Phone (704) 667-2650
Location 39332 S Tryon StCharlotte, NC 28273-3108 · Phone (704) 587-6700
Location 4332 N Trade St, Ste 1100Matthews, NC 28105-1728 · Phone (704) 512-6850

Other Providers at the Same Location NPPES 10

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

AMY LYNN GREGORY NP
Nurse Practitioner
6025 BLAKENEY PARK DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-4480
DR. KAREN SHELTON PH.D.
Psychologist (Clinical Child & Adolescent)
6025 BLAKENEY PARK DR, SUITE 120
CHARLOTTE, NC 28277
Mecklenburg County (704) 973-4444
EXPECT SUCCESS INC
Counselor (Mental Health)
6025 BLAKENEY PARK DR, SUITE 120
CHARLOTTE, NC 28277
Mecklenburg County (704) 831-6841
LAURA SINAI
Pediatrics
6025 BLAKENEY PARK DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-4480
JENNIFER STATIS MD
Pediatrics
6025 BLAKENEY PARK DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-4480
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
6025 BLAKENEY PARK DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-4480
JUMANA SHEBIB SCOGGINS LPC
Counselor (Professional)
6025 BLAKENEY PARK DR, SUITE 120
CHARLOTTE, NC 28277
Mecklenburg County (704) 277-7157
MR. PETER GERALD MCGOURTY LPC
Counselor (Mental Health)
6025 BLAKENEY PARK DR, SUITE 120
CHARLOTTE, NC 28277
Mecklenburg County (704) 831-6841

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 Sueanne Clark's NPI number?

The NPI number for Sueanne Clark is 1841449113. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Sueanne Clark located?

Sueanne Clark practices at 6025 Blakeney Park Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 667-4480.

What is Sueanne 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 Sueanne Clark was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.