Ms. Wanda Kaye Clark
FNP | Nurse Practitioner
1151 Camden Ave, Rock Hill
South Carolina, 29732-3014
803-909-6363
Ms. Wanda Kaye Clark is a Rock Hill, South Carolina based nurse practitioner. Active license number of Ms. Wanda Kaye Clark is 1484 in South Carolina. Her current practice location is 1151 Camden Ave, Rock Hill. Patients can reach her at 803-909-6363 or can fax her at 803-909-6364. Ms. Wanda Kaye Clark is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1043213457.
Ms. Wanda Kaye 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:
Ms. Wanda Kaye 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: | Ms. Wanda Kaye Clark |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 1151 Camden Ave, Rock Hill,
South Carolina, 29732-3014 |
| Phone: | 803-909-6363 |
| Fax: | 803-909-6364 |
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.
| NPI Number: | 1043213457 |
| NPI Enumeration Date: | 31 May, 2005 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Wanda Kaye Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 1484 | | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Wanda Kaye Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| GP3059 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Wanda Kaye Clark
1151 Camden Ave,
Rock Hill, South Carolina |
| Zip: | 29732-3014 |
| Phone Number: | 803-909-6363 |
| Fax Number: | 803-909-6364 |
Patients can reach Ms. Wanda Kaye Clark at
1151 Camden Ave, Rock Hill, South Carolina or can
call to book an appointment on 803-909-6363.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.