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

Allison Clark

Individual provider Family Nurse Practitioner · NPI 1750945366

Allison Clark is a Nurse Practitioner in Southport, North Carolina. Qualified in 2019, 7 years ago. Practices with Heaton Family Practice, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Pennsylvania.

Years since qualifying
7
Licensed in
NC, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5130 Southport Supply Rd SE
Southport, NC 28461-9261
Phone: (910) 269-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5022987 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence SP020248 (PA)

Record details

NPI number1750945366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Heaton Family Practice, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Southport