Charlene Clark, FNP

NPI 1144621756 · on the registry since 2014

Practice

Address: 120 Desert Sage Way
Mountain Home, ID 83647
Phone: (208) 587-3988
Fax: (208) 587-3324
Organisation at this address: Glenns Ferry Health Center, Inc.
Glenns Ferry Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
363LF0000X
Licence states on file: ID, TN, WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho