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

Mrs. Kailynn Andrea Clark, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205469327

Mrs. Kailynn Andrea Clark, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with K. Clark Family Medical PLLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

9225 N 3rd St Ste 102
Phoenix, AZ 85020-2455
Phone: (602) 362-2983
Fax: (480) 565-4552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 715 N Gilbert Rd, Mesa, AZ 85203-6656 — (480) 300-5282
  • 19938 E Carriage Way, Queen Creek, AZ 85142-4907 — (480) 518-5251

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 238376 (AZ)

Record details

NPI number1205469327
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice K. Clark Family Medical Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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