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

Mrs. Michelle Allison Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1215488168

Mrs. Michelle Allison Clark, FNP is a Nurse Practitioner in Stamford, Connecticut. Qualified in 2009, 17 years ago. Practices with Memorial Solid Tumor Group, a 236-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

413 Glenbrook Rd 9
Stamford, CT 06906-2126
Phone: (973) 518-1601
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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 340960 (NY)

Record details

NPI number1215488168
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 16, 2016
Last updated in NPPESOctober 16, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Memorial Solid Tumor Group — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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