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

Meredith Renae Clark, APNP

Individual provider Nurse Practitioner · NPI 1063735504

Meredith Renae Clark, APNP is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2009, 17 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Wisconsin.

Years since qualifying
17
Licensed in
NC, WI
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

605 Cotton St
Winston Salem, NC 27101-5080
Phone: (336) 716-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5010316 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 3999-33 (WI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 3999 (WI)

Record details

NPI number1063735504
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 11, 2010
Last updated in NPPESApril 5, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Winston Salem