Individual provider · Type 1 NPI

Zenobia Clark, FNP-C

Nurse Practitioner · Matteson, IL

NPI number 1255719399 Active

Practice location

3442 218th Pl
Matteson, IL 60443-2770

Other practice locations

  • 100 W 162nd St, South Holland, IL 60473-2003 · (708) 730-2200
  • 1400 Otto Blvd, Chicago Heights, IL 60411-3871 · (708) 733-7200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209.012335 (IL)
Nurse Practitioner Primary 363L00000X209.012335 (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 1255719399

Zenobia Clark, FNP-C's National Provider Identifier is 1255719399, issued on May 8, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Matteson, IL. The record was last updated on Sep 30, 2025.