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

Mrs. Theresa Ann Clark, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1548893506

Mrs. Theresa Ann Clark, FNP-BC is a Family Nurse Practitioner in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

22818 Old US 20
Elkhart, IN 46516-9150
Phone: (574) 389-1231
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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 71010178A (IN)

Record details

NPI number1548893506
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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