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NICHOLLE ARIANA CLARK LPN
NPI 1790294296
Licensed Practical Nurse in Marion, IL

Active since September 27, 2017
11531 SUNDERLAND RD, MARION, IL 62959(618) 964-5139 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholle Ariana Clark Lpn NPPES

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

NICHOLLE ARIANA CLARK LPN (NPI 1790294296) is an individual licensed practical nurse in Marion, Illinois, licensed in Illinois (043.124620) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1790294296
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICHOLLE ARIANA CLARKCredential: LPN
Location Address11531 SUNDERLAND RDMarion, IL 62959-8274
Mailing Address11531 Sunderland RdMarion, IL 62959-8274
Phone(618) 964-5139
Sole ProprietorNo
Enumeration DateSeptember 27, 2017
✔ NPI 1790294296 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 IL · 043.124620
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.
11531 SUNDERLAND RD, Marion, IL 62959
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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.

AMBER LYNN STULL
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139
MARIANN RENEE COOK LPN
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139
MITCHELL BAKER RN
Registered Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139
SHYLAH NICOLLE HEATH LPN
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139
JASMINE DANAE SCOTT
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (832) 986-3611
ELENA KATHLEEN MCMILLIN LPN
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139
MS. AMY H STOUT RN
Registered Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 922-7257
STEPHANIE ANNE OKER LPN
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Williamson County (618) 964-5139

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 Nicholle Clark's NPI number?

The NPI number for Nicholle Clark is 1790294296. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Nicholle Clark located?

Nicholle Clark practices at 11531 Sunderland Rd, Marion, IL 62959. The listed phone number is (618) 964-5139.

What is Nicholle 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 Nicholle Clark was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.