Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley T. Clark, FNP-C

Individual provider Family Nurse Practitioner · NPI 1457993677

Ashley T. Clark, FNP-C is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Kentucky and South Carolina.

Years since qualifying
7
Licensed in
KY, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2050 Corporate Centre Dr
Myrtle Beach, SC 29577-7428
Phone: (843) 698-3120
Fax: (888) 900-2640
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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 23387 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4054773 (KY)

Record details

NPI number1457993677
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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