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

Mrs. Amanda Lynne Clark, CNP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1174769210

Mrs. Amanda Lynne Clark, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2008, 18 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2008
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

700 Childrens Dr NICU
Columbus, OH 43205-2664
Phone: (614) 722-6510
Fax: (614) 722-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 561 W Central Ave, Delaware, OH 43015-1410 — (740) 615-2077

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 317077 (OH)

Record details

NPI number1174769210
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 19, 2008
Last updated in NPPESAugust 7, 2025
Certification dateJuly 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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