Clark, Nichole Louise

Clark, Nichole Louise is an sole proprietor health care provider with primary practice located at 6372 Adrian Hwy , Conway SC 29526-5603. 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 Louise can be contacted via phone (843) 333-7919.

Contact Information

Primary practice address
6372 Adrian Hwy Conway SC 29526-5603
Phone: (843) 333-7919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 27159 South Carolina

Profile Details

NPI number 1780384446
LBN Legal business name Clark, Nichole Louise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2023
Last updated Mar 9th, 2023 - about 3 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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