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

Mary Suann Clark

Individual provider Family Nurse Practitioner · NPI 1255004271

Mary Suann Clark is a Nurse Practitioner in Killeen, Texas. Qualified in 2021, 5 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3801 Scott And White Dr
Killeen, TX 76543-5252
Phone: (254) 680-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 — (855) 876-7246

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1048104 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1048104 (TX)

Record details

NPI number1255004271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Killeen