Caroline Clark, is a
Student In An Organized Health Care Education/training Program based in Virginia Beach, Virginia. Caroline Clark is licensed to practice in * (Not Available) (license number ) and their current practice location is
1881 University Dr, Virginia Beach, Virginia. This provider can be reached at their office (for appointments etc.) via phone at
(757) 683-4297.
NPI number for Caroline Clark is 1417863036 and their current mailing address is 1190 N Vermont St, Arlington, Virginia. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1417863036.
Provider's Profile
| Full Name | Caroline Clark |
|---|
| Gender | |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1881 University Dr, Virginia Beach, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417863036
- Provider Enumeration Date: 08/22/2026
- Last Update Date: 08/22/2026
Medical Identifiers
Medical identifiers for Caroline Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417863036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 0001335094 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caroline Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Caroline Clark, 1190 N Vermont St, Arlington, VA 22201-4759 Ph: (508) 409-9845 | Caroline Clark, 1881 University Dr, Virginia Beach, VA 23453-8083 Ph: (757) 683-4297 |
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