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

Mrs. Beverly Ann Clark, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1417624362

Mrs. Beverly Ann Clark, APRN-CNP is a Nurse Practitioner in Moore, Oklahoma. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
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Practice location Address checks out

1060 SW 4th St
Moore, OK 73160-2494
Phone: (405) 378-5491
Fax: (405) 378-5492
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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 205019 (OK)

Record details

NPI number1417624362
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

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 Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moore