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DR. NICOLE RENEE CLARK NP
NPI 1104021740
Nurse Practitioner - Family in Rochester, MI

Active since June 15, 2007
408 MEADOW BROOK RD, ROCHESTER, MI 48309(248) 370-2341 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Nicole Renee Clark Np NPPES

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

DR. NICOLE RENEE CLARK NP (NPI 1104021740) is an individual family provider in Rochester, Michigan, licensed in Michigan (4704190098) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1104021740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICOLE RENEE CLARKCredential: NP
Location Address408 MEADOW BROOK RDRochester, MI 48309-4452
Mailing Address1563 Elcroft CtRochester, MI 48307-6062 · (586) 219-7438
Phone(248) 370-2341
Sole ProprietorNo
Enumeration DateJune 15, 2007
Last NPPES UpdateSeptember 6, 2025
NPPES CertifiedSeptember 6, 2025
✔ NPI 1104021740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704190098
408 MEADOW BROOK RD, Rochester, MI 48309
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Accepted Insurance

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANCY J JANSEN RN NP
Nurse Practitioner (Adult Health)
408 MEADOW BROOK RD
ROCHESTER HILLS, MI 48309
Oakland County (248) 370-2341
KAREN E PFANDER PA-C
Physician Assistant (Medical)
408 MEADOW BROOK RD
ROCHESTER, MI 48309
Oakland County (248) 370-2341
ELIZABETH MARY KREINER NP-C
Nurse Practitioner
408 MEADOW BROOK RD
ROCHESTER, MI 48309
Oakland County (248) 370-2341
SUSAN LEE RIGGAN
Nurse Practitioner (Adult Health)
408 MEADOW BROOK RD
ROCHESTER, MI 48309
Oakland County (248) 370-2341
OAKLAND UNIVERSITY
Nurse Practitioner (Adult Health)
408 MEADOW BROOK RD
ROCHESTER, MI 48309
Oakland County (248) 370-2341
MRS. ANN KATHLEEN RAYFORD ANP-BC
Nurse Practitioner (Primary Care)
408 MEADOW BROOK RD
ROCHESTER, MI 48309
Oakland County (248) 370-2341

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 1104021740. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Nicole Clark located?

Nicole Clark practices at 408 Meadow Brook Rd, Rochester, MI 48309. The listed phone number is (248) 370-2341.

What is Nicole Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Nicole Clark accept?

Health plans from Priority Health 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 September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.