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

Mrs. Kailey Clark, ARNP-C

Individual provider Nurse Practitioner · NPI 1912363946

Mrs. Kailey Clark, ARNP-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2015, 11 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4612 N Habana Ave Fl 2
Tampa, FL 33614-7101
Phone: (813) 875-9000
Fax: (813) 874-3278
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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 APRN9320963 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9320963 (FL)

Record details

NPI number1912363946
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJuly 21, 2024
Certification dateJuly 21, 2024
Mailing address4612 N Habana Ave Fl 2, Tampa, FL 33614-7101

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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