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

Mrs. Katelyn Clarke, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1487366704

Mrs. Katelyn Clarke, NURSEPRACTITIONER is a Family Nurse Practitioner in Johnson City, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

355 Main St
Johnson City, NY 13790-2050
Phone: (607) 798-1602
Fax: (607) 798-1605
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07220882 (NY)

Record details

NPI number1487366704
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

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