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MRS. TERRI JO CLARK FNP-BC, MSN
NPI 1962954305
Nurse Practitioner - Family in Lady Lake, FL

Active since November 02, 2016
8550 NE 138TH LN BLDG 600, LADY LAKE, FL 32159(352) 707-0707(269) 753-1717 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2021, Nov 2, 2016 (2 updates tracked since 2016).

About Mrs. Terri Jo Clark Fnp-bc, Msn NPPES

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

MRS. TERRI JO CLARK FNP-BC, MSN (NPI 1962954305) is an individual family provider in Lady Lake, Florida, licensed in Florida (11020806) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1962954305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TERRI JO CLARKCredential: FNP-BC, MSN
Location Address8550 NE 138TH LN BLDG 600Lady Lake, FL 32159-6816
Mailing Address140 Pine Tree DrLeesburg, FL 34788-2806 · (269) 203-6516
Phone(352) 707-0707
Fax(269) 753-1717
Sole ProprietorYes
Enumeration DateNovember 2, 2016
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1962954305 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 FL · 11020806
8550 NE 138TH LN BLDG 600, Lady Lake, FL 32159
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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.

SHANTINATH VILLAGES PULMONARY AND SLEEP CENTER PLLC
Internal Medicine (Pulmonary Disease)
8550 NE 138TH LN BLDG 600
LADY LAKE, FL 32159
Lake County (423) 747-6025

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 Terri Clark's NPI number?

The NPI number for Terri Clark is 1962954305. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is Terri Clark located?

Terri Clark practices at 8550 NE 138th Ln Bldg 600, Lady Lake, FL 32159. The listed phone number is (352) 707-0707.

What is Terri 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 Terri Clark was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.