Individual provider · Type 1 NPI

Rachel L. Clark, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1316304975 Active

Practice location

25 Michigan St NE Ste 2100
Grand Rapids, MI 49503-2526

Call (616) 267-2500 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704336827 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1316304975

Rachel L. Clark, MSN, RN, CPNP-PC's National Provider Identifier is 1316304975, issued on Jan 26, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 17, 2026.