IndividualActive
Ernestine Clark, RN
NPI 1114287216 · Registered Nurse · Gallup, NM
Ernestine Clark, RN is a Registered Nurse provider in Gallup, NM (NPI 1114287216).
Provider details
- NPI number
- 1114287216
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R47430 (NM)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Street-level locationGet directions
Mailing address
Po Box 1337
Gallup, NM 87305-1337
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2012-05-22
Frequently asked questions
- What is Ernestine Clark's NPI number?
- Ernestine Clark's National Provider Identifier (NPI) is 1114287216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ernestine Clark's specialty?
- Ernestine Clark is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Ernestine Clark located?
- Ernestine Clark's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Ernestine Clark's phone number?
- The practice phone number listed in the NPPES registry for Ernestine Clark is (505) 722-1000.
- Is Ernestine Clark's NPI active?
- Yes — Ernestine Clark's NPI (1114287216) is active in the NPPES registry as of the last update on 2012-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.