Chandra H Clark, RN, CDCES is a 
Registered Nurse - Diabetes Educator based in Blackstone, Virginia. Chandra H Clark is licensed to practice in Virginia (license number 0001157171) and her current practice location is 
11106 Hawkes Lane, Blackstone, Virginia. She can be reached at her office (for appointments etc.) via phone at 
(757) 327-1817.
NPI number for Chandra H Clark is 1649868217 and her current mailing address is 11106 Hawkes Lane, Blackstone, Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649868217.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Chandra H Clark | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse - Diabetes Educator | 
|---|
| Location | 11106 Hawkes Lane, Blackstone, Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1649868217
 - Provider Enumeration Date: 01/08/2021
 - Last Update Date: 01/08/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Chandra H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1649868217 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163WD0400X | Registered Nurse - Diabetes Educator  | 0001157171 (Virginia) | 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. Chandra H 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 | 
		Chandra H Clark, RN, CDCES 11106 Hawkes Lane, Blackstone, VA 23824 Ph: (757) 327-1817 | Chandra H Clark, RN, CDCES 11106 Hawkes Lane, Blackstone, VA 23824 Ph: (757) 327-1817 | 
		
		 
Reviews and Comments