Charlene Clark
FNP | Nurse Practitioner - Family | 11+ years Exp
120 Desert Sage Way, Mountain Home
Idaho, 83647-1038
208-587-3988
Charlene Clark is a Mountain Home, Idaho based nurse practitioner with 11 years of experience in Family. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charlene Clark is AP61098520 for Family in Washington. Her current practice location is 120 Desert Sage Way, Mountain Home. Patients can reach her at 208-587-3988 or can fax her at 208-587-3324. Charlene Clark is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1144621756.
Charlene Clark delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Charlene Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charlene Clark |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 120 Desert Sage Way, Mountain Home,
Idaho, 83647-1038 |
| Phone: | 208-587-3988 |
| Fax: | 208-587-3324 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8123240926 |
| Enrollment ID: | I20141111001752 |
| NPI Number: | 1144621756 |
| NPI Enumeration Date: | 15 Sep, 2014 |
| NPI Last Update On: | 08 Jan, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlene Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| AP61098520 | Family | Washington | Primary | |
| 73782 | Family | Idaho | Secondary | |
| 19070 | Family | Tennessee | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charlene Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hardin Emergency Group Llc (2769633148) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charlene Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 19070 | Other | Tennessee | APN LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charlene Clark
1205 Teton Ave,
Caldwell, Idaho |
| Zip: | 83605-2553 |
| Phone Number: | 901-500-5766 |
Patients can reach Charlene Clark at
120 Desert Sage Way, Mountain Home, Idaho or can
call to book an appointment on 208-587-3988.
Comments/ Reviews:
Patients can read all the reviews posted for Charlene Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Charlene Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.