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

MS. Abigail Ann Clark, NP

Individual provider Registered Nurse · NPI 1104554096

MS. Abigail Ann Clark, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

330 Brookline Ave E/shapiro 6
Boston, MA 02215
Phone: (617) 754-9600
Fax: (617) 667-8665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2325298 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2325298 (MA)

Record details

NPI number1104554096
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 10, 2022
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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