IndividualActive
Amie Clarke, P.A.-C
NPI 1720058126 · Medical Physician Assistant · Raleigh, NC
Provider details
- NPI number
- 1720058126
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 101378 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3400 Executive Dr
Suite 102
Raleigh, NC 27609-7476
Phone: (919) 875-0539
Fax: (919) 875-1051
Approximate (ZIP-level) locationGet directions
Mailing address
4414 Lake Boone Trl 502
Raleigh, NC 27607-7521
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2015-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.