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Nichole N Clark, APNP
Family Nurse Practitioner in Mchenry, Illinois
NPI 1093377905

Nichole N Clark is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Nichole N Clark practices in Mchenry, IL and has the professional credentials of APNP. The NPI Number for Nichole N Clark is 1093377905 and holds a License No. 10067 (Illinois).

The current practice location address for Nichole N Clark is 633 Ridgeview Dr, Mchenry, IL and can be reached out via phone at 815-344-0621 and via fax at 815-344-0664.

Location: 633 Ridgeview Dr, Mchenry, IL, 60673-2334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093377905
Provider Name
Nichole N Clark
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
633 Ridgeview Dr, Mchenry, IL, 60673-2334
Phone Number
815-344-0621
Fax Number
815-344-0664
Provider Enumeration Date
07/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093377905 05 WI
institution
Provider Business Practice Location Address Details
Address
633 Ridgeview Dr
City
Mchenry
State
Illinois
Zip
60050-7012
Phone Number
815-344-0621
Fax Number
815-344-0664
person
Provider Business Mailing Address Details
Address
633 Ridgeview Dr
City
Mchenry
State
Illinois
Zip
60050-7012
Phone Number
815-344-0621
Fax Number
815-344-0664
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209019549 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10067 (Wisconsin)
Definition
Definition to come...
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