Active NPI
Ashlee Hutcheson Clark, APRN
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11024014
- Practice address
- 820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205 - Phone
- (904) 202-3860
- Fax
- (904) 202-3846
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11024014 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11024014 | FL | |
| Nurse Practitioner | 363L00000X | APRN11024014 | FL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 11024014 | FL |
Addresses
Primary practice location
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 70.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024014 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Nurse Practitioner | Current | Accepting new patients |
| Georgia Spine & Pain Centers | Past | Accepting new patients |
Locations
820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860
841 Prudential Dr
Ste 180
Jacksonville, FL 32207
Phone (904) 202-3300
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
11401 Old Saint Augustine Rd
Jacksonville, FL 32258
Phone (904) 260-1818
98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 202-4243
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Nurse Practitioner
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Interventional Pain Medicine Physician
- Waycross, GA
- NPI 1134769714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1811693252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078205",
"telephone_number": "904-202-3860",
"fax_number": "904-202-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ASHLEE",
"middle_name": "HUTCHESON",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11024014",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11024014",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11024014",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11024014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.