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HomeProvidersCHARLENE CLARK FNP

Nurse Practitioner, Family

CHARLENE CLARK FNP

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1144621756 · enumerated 2014-09-15 · record updated 2025-01-08. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 120 DESERT SAGE WAY, MOUNTAIN HOME, ID, 83647-1038 (208) 587-3988 Fax (208) 587-3324 Google Maps Apple Maps OpenStreetMap
Mailing address 1205 TETON AVE, CALDWELL, ID, 83605-2553 (901) 500-5766 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Family 363LF0000X · License 73782 ID
Nurse Practitioner, Family 363LF0000X · License 19070 TN
Nurse Practitioner, Family 363LF0000X · Primary · License AP61098520 WA

In this directory

ID Elmore County Mountain Home Nurse Practitioner, Family

Locations and evidence

Practice location MOUNTAIN HOME, ID, 836471038
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.