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

Justine Clark

Individual provider Primary Care Nurse Practitioner · NPI 1770329203

Justine Clark is a Nurse Practitioner in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2024, 2 years ago. Practices with St Sophie's LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
2
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2024

Practice location Address checks out

3201 33rd St S
Fargo, ND 58104-8823
Phone: (701) 365-4488
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 200090 (ND)

Record details

NPI number1770329203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address2727 14th St W, West Fargo, ND 58078-8563

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice St. Sophie'S Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fargo