Miss Crystal B Clark is a Fort Mill, South Carolina based nurse practitioner with 7 years of experience in . She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Crystal B Clark is 22378 in South Carolina. Her current practice location is 885 Gold Hill Rd # 1003, Fort Mill. Patients can reach her at 803-288-9495 or can fax her at 989-214-7326. Miss Crystal B Clark is FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1154898179. Miss Crystal B Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Miss Crystal B 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:
Miss Crystal B Clark
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP-C
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2018
Accepts Medicare Assignment:
Yes
Practice Address:
885 Gold Hill Rd # 1003, Fort Mill, South Carolina, 29708-7946
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:
5193123727
Enrollment ID:
I20211012000795
NPI Number:
1154898179
NPI Enumeration Date:
29 Oct, 2018
NPI Last Update On:
28 Sep, 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 Miss Crystal B Clark are as mentioned below.
License Number
Specialization
State
Status
22378
South Carolina
Primary
22378
Nurse Practitioner
South Carolina
Secondary
22378
Family
South Carolina
Secondary
22378
Acute Care
South Carolina
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 Miss Crystal B Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ovp Health Care Inc (0648694596)
12
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Crystal B Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5422378
Other
South Carolina
CONTROLLED SUBSTANCE LICENSURE
22378
Other
South Carolina
APRN LICENSURE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Miss Crystal B Clark 2223 Camp Creek Rd, Lancaster, South Carolina
Zip:
29720-8511
Phone Number:
704-292-3651
Fax Number:
989-214-7326
Patients can reach Miss Crystal B Clark at 885 Gold Hill Rd # 1003, Fort Mill, South Carolina or can call to book an appointment on 803-288-9495.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.