Elizabeth Melissa Clarke, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009015 Issued in NC

Practice address

1715 Sharon Rd W
Charlotte, NC 28210-5663

Phone

(704) 944-0650

Fax

(407) 732-7925

NPI assigned

Dec 8, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1184869992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W LAKE MARY BLVD",
            "address_2": "SUITE 1010-357",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462060",
            "telephone_number": "407-732-7957",
            "fax_number": "407-732-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHARON RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105663",
            "telephone_number": "704-944-0650",
            "fax_number": "407-732-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ELIZABETH",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009015",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9362590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Audrey Clark, LCSW,LISW-CP
• Jessica Pease Clarke-Pounder, MD
• Caylee C Clarke, MA, BCBA
• Charissa Grace Clarke
• Cynthia E Clarke, RPH
• John Clarke, LPC
• Judith Renee Clarke, COTA
• Nicole Clarke, NP
• Noellee Tashina Clarke, MD
• Sherri Clarke, MS, RD, LDN

• All providers in Charlotte, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.