Ann Wolfe Clark, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

131647 Issued in NC

Practice address

237 Longvue Dr
Boone, NC 28607-5070

Phone

(828) 264-6262

NPI assigned

Apr 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1689109175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075070",
            "telephone_number": "828-264-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075070",
            "telephone_number": "828-264-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANN",
        "middle_name": "WOLFE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "131647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katurah Ruth Christenbury, MMT, MT-BC
• Sara K Christenbury, LMFT, LCAS
• Carole Ann Morrison Church, FNP-BC
• Laurie Ann Cimino, M.S., R.D.,L.D.N.
• Daniel Cirino, DO
• Donald L Clark, EDD
• Marc L. Clark, M.D.
• Sara Clark, LCSWA
• Sue S. Clark, MA
• Veronica Lake Clark, MOTR/L,CLT

• Family Nurse Practitioner in Boone, NC
• Providers in Boone, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.