CANDICE CLARK FNP-C NPI 1760932537

NPI Information

  • NPI: 1760932537
  • Provider Name: CANDICE CLARK, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2617 W HOLCOMBE BLVD
    HOUSTON, TX
    ZIP 77025
  • Phone: (832) 831-7438

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NPI Details

Candice Clark, FNP-C is a family nurse practitioner in Houston, TX with 9 years of experience. Candice Clark, FNP-C NPI is 1760932537. 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:

2617 W HOLCOMBE BLVD
HOUSTON, TX
ZIP 77025-757
Phone: (832) 831-7438

The NPI 1760932537 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 10/5/2016 and was last updated on 10/5/2016.

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
1363LF0000XNurse PractitionerFamilyAP132130TEXASYes

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: 3/30/2025

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