NICOLE CLARK
NPI 1013624998
Student in an Organized Health Care Education/Training Program in Southfield, MI

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1013624998. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Q: What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2022

20201 ALHAMBRA ST, SOUTHFIELD, MI 48076(248) 592-4108 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE CLARK (NPI 1013624998) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1013624998

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE CLARK

Location Address20201 ALHAMBRA STSouthfield, MI 48076-5420

Mailing Address20201 Alhambra StSouthfield, MI 48076-5420

Phone(248) 592-4108

Sole ProprietorYes

Enumeration DateNovember 1, 2022

NPPES CertifiedNovember 1, 2022

✔ NPI 1013624998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20201 ALHAMBRA ST, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1013624998. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Nicole Clark located?

Nicole Clark practices at 20201 Alhambra St, Southfield, MI 48076. The listed phone number is (248) 592-4108.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Nicole Clark accept?

Health plans from McLaren Health Plan Community list Nicole Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Clark was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.