Nicole M Clark, APRN
Nurse Practitioner, Family in Mantua, New Jersey
1689395311- Practice location
- 1141 Mantua Pike, Mantua, NJ 08051-1608
- Phone
- 732-456-7777
- Fax
- —
- Last updated
- September 9, 2022
Nicole Marie Clark is a Nurse Practitioner, Family based in Mantua, NJ. Nicole Marie Clark practices in Mantua, NJ and has the professional credentials of APRN. The NPI Number for Nicole Marie Clark is 1689395311 and holds a License No. 26NJ01365300 (NJ). The current practice location address for Nicole Marie Clark is 1141 Mantua Pike, Mantua, NJ 08051-1608 and can be reached out via phone at 732-456-7777.
Provider Profile Details
- NPI Number
- 1689395311
- Provider Name
- Nicole Marie Clark
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1141 Mantua Pike, Mantua, NJ 08051-1608
- Phone Number
- 732-456-7777
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 9, 2022
- Last Update Date
- September 9, 2022
- Certification Date
- August 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1141 Mantua Pike
Mantua, NJ 08051-1608 - City
- Mantua
- State
- New Jersey
- Zip
- 08051-1608
- Phone Number
- 732-456-7777
Provider Business Mailing Address Details
- Address
- 1141 Mantua Pike
Mantua, NJ 08051-1608 - City
- Mantua
- State
- NJ
- Zip
- 08051-1608
- Phone Number
- 732-456-7777
License Information
- License Number
- 26NJ01365300
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole M Clark, APRN?
The NPI number of Nicole M Clark, APRN is 1689395311. It was assigned on September 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Nicole M Clark, APRN?
Nicole M Clark, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01365300.
Where does Nicole M Clark, APRN practice?
The practice location is 1141 Mantua Pike, Mantua, NJ 08051-1608. The office can be reached at 732-456-7777 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689395311 directly on the NPPES registry website.