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

Amanda Nichole Clark, DNP

Individual provider Nurse Practitioner · NPI 1205654878

Amanda Nichole Clark, DNP is a Nurse Practitioner in Georgetown, Texas. Qualified in 2024, 2 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
2
Licensed in
IL, TX
In the registry since
2024
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone: (512) 509-9550
Fax: (512) 509-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10350 Haligus Rd Ste A, Huntley, IL 60142-9545 — (815) 455-6100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1215968 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 209030659 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.030659 (IL)

Record details

NPI number1205654878
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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