Clark, Nichole Deann
Clark, Nichole Deann is an individual health care provider with primary practice located at 145 Shakerag Road , Clinton AR 72031-6657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Nichole Deann can be contacted via phone (501) 745-7161.Contact Information
Primary practice address
145 Shakerag Road
Clinton AR 72031-6657
Phone: (501) 745-7161
Fax: (501) 745-8714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01919 | Arkansas |
Profile Details
| NPI number | 1548464936 |
|---|---|
| LBN Legal business name | Clark, Nichole Deann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Nov 4th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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