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

Gina Clark, APRN

Individual provider Nurse Practitioner · NPI 1174912406

Gina Clark, APRN is a Nurse Practitioner in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2014, 12 years ago. Practices with US Psychiatry PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4200 Gardiner View Ave
Louisville, KY 40213-1877
Phone: (502) 456-0494
Fax: (502) 456-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 3008878 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3008878 (KY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 3008878 (KY)

Record details

NPI number1174912406
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 9, 2015
Last updated in NPPESAugust 16, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Us Psychiatry Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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