IndividualActive
Adele Clark, PA
NPI 1841228335 · Medical Physician Assistant · Winston Salem, NC
Provider details
- NPI number
- 1841228335
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 100690 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone: (336) 716-2255
Fax: (336) 716-9258
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 344
Winston-Salem, NC 27102-0344
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.