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

Kortney Wilson Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1053172205

Kortney Wilson Clark, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Ih Physician Services PC, a 55-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

7845 Little Ave
Charlotte, NC 28226-8198
Phone: (704) 375-0100
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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 5019439 (NC)

Record details

NPI number1053172205
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ih Physician Services Pc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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