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

Ivory Clark

Individual provider Specialist · NPI 1528877891

Ivory Clark is a Specialist in Moorhead, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1505 30th Ave S
Moorhead, MN 56560-5149
Phone: (218) 287-4338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1528877891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address1547 30th Ave S, Moorhead, MN 56560-5149

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