NICOLE CLARK DNP AGAC-NP APRN NPI 1023775665

NPI Information

NPI: 1023775665
Provider Name: NICOLE CLARK, DNP, AGAC-NP, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
989510 NEBRASKA MEDICAL CTR
OMAHA, NE
ZIP 68198
Phone: (402) 212-1075
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Nicole Clark, DNP, AGAC-NP, APRN is an acute care nurse practitioner in Omaha, NE with 4 years of experience. Nicole Clark, DNP, AGAC-NP, APRN NPI is 1023775665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

989510 NEBRASKA MEDICAL CTR
OMAHA, NE
ZIP 68198-510
Phone: (402) 212-1075

The NPI 1023775665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2021 and was last updated on 11/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	113268	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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