SearchIndiana363LF0000X

Theresa Clark, FNP-BC

NPI 1548893506 · on the registry since 2020

Practice

Address
22818 Old Us 20
Elkhart, IN 46516
Phone
(574) 389-1231
Organisation at this address
Beacon Occupational Health, Llc
Community Occupational Medicine, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-12

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 Indiana