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

Samantha Clark, APRN-BC

Individual provider Family Nurse Practitioner · NPI 1740703354

Samantha Clark, APRN-BC is a Nurse Practitioner in Orlando, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5956 Turkey Lake Rd
Orlando, FL 32819-4218
Phone: (407) 830-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11001826 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11001826 (FL)

Record details

NPI number1740703354
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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