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COURTNEY ELLISSE CLARK
NPI 1437978616
Student in an Organized Health Care Education/Training Program in Indio, CA

Active since October 07, 2024
47915 OASIS ST, INDIO, CA 92201(760) 863-8632 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Ellisse Clark NPPES

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

COURTNEY ELLISSE CLARK (NPI 1437978616) is an individual student in an organized health care education/training program in Indio, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1437978616
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCOURTNEY ELLISSE CLARK
Location Address47915 OASIS STIndio, CA 92201-6950
Mailing Address355 Village DrBlythe, CA 92225-1309 · (760) 698-7648
Phone(760) 863-8632
Sole ProprietorNo
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 6, 2024
✔ NPI 1437978616 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.
47915 OASIS ST, Indio, CA 92201
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Other Providers at the Same Location NPPES 20

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

SANDRA MERCADO LVN
Licensed Vocational Nurse
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8638
MARIVEL SANCHEZ
Counselor
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8600
ZITLALI CANCHOLA-TORRES
Registered Nurse (Psychiatric/Mental Health)
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8600
JENNIFER CAROLINA FLORES-DUARTE
Registered Nurse
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8600
STACEY K DOUWES
Student in an Organized Health Care Education/Training Program
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 835-5601
ANETH JACKELINE SANCHEZ
Licensed Vocational Nurse
47915 OASIS ST
INDIO, CA 92201
Riverside County (442) 282-4909
CARMEN MARTINEZ
Peer Specialist
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8600
MIRTA LERMA
Counselor
47915 OASIS ST
INDIO, CA 92201
Riverside County (760) 863-8638

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 Courtney Clark's NPI number?

The NPI number for Courtney Clark is 1437978616. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Courtney Clark located?

Courtney Clark practices at 47915 Oasis St, Indio, CA 92201. The listed phone number is (760) 863-8632.

What is Courtney Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Courtney Clark was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.