Individual provider · Type 1 NPI
Holly A. Clark, N.P.
Nurse Practitioner · Orland Park, IL
Practice location
15300 West Ave Ste 224
Orland Park, IL 60462-4509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 277-000934 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1205823093
Holly A. Clark, N.P.'s National Provider Identifier is 1205823093, issued on Oct 5, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orland Park, IL. The record was last updated on Oct 29, 2025.