Individual provider · Type 1 NPI

Nechole Clark

Student in an Organized Health Care Education/Training Program · El Cajon, CA

NPI number 1023930989 Active

Practice location

1664 Broadway
El Cajon, CA 92021-5201

Fax (619) 579-1969

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1023930989

Nechole Clark's National Provider Identifier is 1023930989, issued on Jul 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Cajon, CA. The record was last updated on Jul 29, 2026.