Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aimee Elizabeth Clark

Individual provider Family Nurse Practitioner · NPI 1235723263

Aimee Elizabeth Clark is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
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Practice location Address checks out

66 Branch Ave
Providence, RI 02904-2737
Phone: (401) 606-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 793-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN03088 (RI)

Record details

NPI number1235723263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2021
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence