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

Individual provider Acute Care Nurse Practitioner · NPI 1407853880

Nellda C Clark, CRNP is a Nurse Practitioner in Montgomery, Alabama. Graduated from University of Alabama School of Medicine in 1998, 28 years ago. Practices with Jackson Hospital and Clinic, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
28
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

440 Taylor Rd 3300
Montgomery, AL 36117-3588
Phone: (334) 265-7075
Fax: (334) 261-6113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-0473524 (AL)

Record details

NPI number1407853880
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESFebruary 8, 2011
Mailing address440 Taylor Rd, 3230, Montgomery, AL 36117-3588

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Jackson Hospital And Clinic, Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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