MRS. DEBRA ANN CLARK RN
NPI 1508079328
Registered Nurse - Pediatrics in Granite City, IL

Active since May 08, 2007
2044 MADISON AVE, SUITE G7, GRANITE CITY, IL 62040(618) 451-6685(618) 451-7292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Debra Ann Clark Rn NPPES

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

MRS. DEBRA ANN CLARK RN (NPI 1508079328) is an individual pediatrics provider in Granite City, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508079328
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameMRS. DEBRA ANN CLARKCredential: RN
Location Address2044 MADISON AVE, SUITE G7Granite City, IL 62040-4641
Mailing Address2044 Madison Ave, Suite G7Granite City, IL 62040-4641 · (618) 451-6685 · Fax (618) 451-7292
Fax(618) 451-7292
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508079328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
2044 MADISON AVE, Granite City, IL 62040

Other Providers at the Same Location NPPES 17

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

Durable Medical Equipment & Medical Supplies
2044 MADISON AVE
GRANITE CITY, IL 62040
Internal Medicine
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Nurse Practitioner (Adult Health)
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Physical Medicine & Rehabilitation
2044 MADISON AVE, SUITE 15
GRANITE CITY, IL 62040
Preventive Medicine (Occupational Medicine)
2044 MADISON AVE, SUITE G6
GRANITE CITY, IL 62040
Family Medicine
2044 MADISON AVE, SUITE 27
GRANITE CITY, IL 62040
Internal Medicine
2044 MADISON AVE, SUITE 23
GRANITE CITY, IL 62040
Physiological Laboratory
2044 MADISON AVE, SUITE 28
GRANITE CITY, IL 62040

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 Debra Clark's NPI number?

The NPI number for Debra Clark is 1508079328. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Debra Clark located?

Debra Clark practices at 2044 Madison Ave Suite G7, Granite City, IL 62040. The listed phone number is (618) 451-6685.

What is Debra Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Debra Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.