Individual provider · Type 1 NPI

Sima Ytina Clark

Student in an Organized Health Care Education/Training Program · Durham, NC

NPI number 1245146414 Active

Practice location

401 N Driver St
Durham, NC 27703-3007

Mailing address

131 Eagle Point Ct
Kernersville, NC 27284-6945

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 1245146414

Sima Ytina Clark's National Provider Identifier is 1245146414, issued on Aug 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durham, NC. The record was last updated on Aug 19, 2026.