Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charlene Clark, FNP

Family Nurse Practitioner in Mountain Home, ID · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144621756

Verified

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Registry record

Entity type Individual (Type 1)

Name Charlene Clark

Credential FNP

Sex Female

Practice address 120 Desert Sage Way, Mountain Home, ID, 83647

Phone (208) 587-3988

Fax (208) 587-3324

Enumeration date Sep 15, 2014

Last updated in NPPES Jan 8, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 73782 (ID) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 19070 (TN) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP61098520 (WA) Primary

FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

Other identifiers

Identifier	Type	State	Issuer
19070	Other	TN	APN LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Charlene Clark?

The National Provider Identifier (NPI) for Charlene Clark is 1144621756, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charlene Clark practice?

The practice location on file with NPPES is in Mountain Home, ID. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-08.