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

Mrs. Rachel Leah Clark, FNP-C

Individual provider Registered Nurse · NPI 1629855036

Mrs. Rachel Leah Clark, FNP-C is a Nurse Practitioner in Palm Bay, Florida. Qualified in 2023, 3 years ago. Practices with Central Florida Spine and Pain, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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

369 Deer Run Rd
Palm Bay, FL 32909-1125
Phone: (386) 451-6703
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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 F07230175 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9235916 (FL)

Record details

NPI number1629855036
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Central Florida Spine And Pain — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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