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Debra Clark, PNP
Pediatric Nurse Practitioner in Concord, North Carolina
NPI 1336525625

Debra Clark is a Pediatric Nurse Practitioner based in Concord, NC and is specialized in Pediatrics. Debra Clark practices in Concord, NC and has the professional credentials of PNP. The NPI Number for Debra Clark is 1336525625 and holds a License No. 5007863 (North Carolina).

The current practice location address for Debra Clark is 1040 Vinehaven Dr Ne, Concord, NC and can be reached out via phone at 704-784-1010 and via fax at 704-784-1013.

Location: 1040 Vinehaven Dr Ne, Concord, NC, 28025-2438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336525625
Provider Name
Debra Clark
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1040 Vinehaven Dr Ne, Concord, NC, 28025-2438
Phone Number
704-784-1010
Fax Number
704-784-1013
Provider Enumeration Date
08/10/2015
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336525625 05 NC
institution
Provider Business Practice Location Address Details
Address
1040 Vinehaven Dr Ne
City
Concord
State
North Carolina
Zip
28025-2438
Phone Number
704-784-1010
Fax Number
704-784-1013
person
Provider Business Mailing Address Details
Address
1040 Vinehaven Dr Ne
City
Concord
State
North Carolina
Zip
28025-2438
Phone Number
704-784-1010
Fax Number
704-784-1013
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5007863 (North Carolina)
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
Pediatrics
Taxonomy
363LP0200X
License No.
5007863 (North Carolina)
Definition
Definition to come...
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