Individual provider · Type 1 NPI
Nichelle Clark
Other Technician · Farmington Hills, MI
NPI number
1306557772
Active · reactivated Jan 11, 2023
Practice location
32961 Middlebelt Rd Ste A
Farmington Hills, MI 48334-1729
Mailing address
6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Other practice locations
- 955 Campus Dr N, Waterford, MI 48328-2754 · (248) 910-7323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1306557772
Nichelle Clark's National Provider Identifier is 1306557772, issued on Dec 7, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Farmington Hills, MI. The record was last updated on Feb 27, 2023.