DEONNA MICHELLE CLARK NP NPI 1609145572

NPI Information

  • NPI: 1609145572
  • Provider Name: DEONNA MICHELLE CLARK, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 6500 ROOKIN ST
    SUITE 200
    HOUSTON, TX
    ZIP 77074
  • Phone: (832) 548-5000

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NPI Details

Deonna Michelle Clark, NP is a women's health nurse practitioner in Houston, TX. Deonna Michelle Clark, NP NPI is 1609145572. 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:

6500 ROOKIN ST
SUITE 200
HOUSTON, TX
ZIP 77074-019
Phone: (832) 548-5000
Fax: (713) 523-4897

The enumeration date for this NPI number is 12/22/2011 and was last updated on 2/10/2022.

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
1363LW0102XNurse PractitionerWomen's Health661103TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080462703MEDICAIDTEXAS
2661103OTHERTX STATE BOARD OF NURSING APN LICENSURE

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: 11/21/2025

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