1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Licensed Practical Nurse
  6. NPI Profile

MS. NICOLE CHRISTINE CLARK LPN
NPI 1982767604
Licensed Practical Nurse in Syracuse, NY

Active since December 18, 2006
241 LORRAINE AVE, SYRACUSE, NY 13210(315) 863-5885 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Christine Clark Lpn NPPES

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

MS. NICOLE CHRISTINE CLARK LPN (NPI 1982767604) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (251148-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1982767604
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. NICOLE CHRISTINE CLARKCredential: LPN
Location Address241 LORRAINE AVESyracuse, NY 13210-3229
Mailing Address241 Lorraine AveSyracuse, NY 13210-3229 · (315) 863-5885
Phone(315) 863-5885
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1982767604 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 NY · 251148-1
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.
241 LORRAINE AVE, Syracuse, NY 13210
Open in Google Maps ↗

Other Identifiers 1

Medicaid02120758NY

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 1982767604. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Nicole Clark located?

Nicole Clark practices at 241 Lorraine Ave, Syracuse, NY 13210. The listed phone number is (315) 863-5885.

What is Nicole 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 Nicole Clark was last updated on July 9, 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.