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WILLIETTE CLARK
NPI 1174984934
Licensed Practical Nurse in Montgomery Village, MD

Active since March 08, 2016
9311 WILLOW CREEK DR, APT F, MONTGOMERY VILLAGE, MD 20886(240) 751-5779 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Williette Clark NPPES

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

WILLIETTE CLARK (NPI 1174984934) is an individual licensed practical nurse in Montgomery Village, Maryland, licensed in District Of Columbia (1003182) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1174984934
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWILLIETTE CLARK
Location Address9311 WILLOW CREEK DR, APT FMontgomery Village, MD 20886-0422
Mailing Address9311 Willow Creek Dr, Apt FMontgomery Village, MD 20886-0422
Phone(240) 751-5779
Sole ProprietorNo
Enumeration DateMarch 8, 2016
✔ NPI 1174984934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in DC · 1003182
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9311 WILLOW CREEK DR, Montgomery Village, MD 20886
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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 Williette Clark's NPI number?

The NPI number for Williette Clark is 1174984934. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Williette Clark located?

Williette Clark practices at 9311 Willow Creek Dr Apt F, Montgomery Village, MD 20886. The listed phone number is (240) 751-5779.

What is Williette Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Williette Clark was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.