Individual provider · Type 1 NPI

Monique R. Clark, FNP

Family Nurse Practitioner · Southfield, MI

NPI number 1487198255 Active

Practice location

20755 Greenfield Rd, Suite 100
Southfield, MI 48075-5403

Mailing address

26520 Meadowood Ct N
Lathrup Village, MI 48076-4650

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704262087 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1487198255

Monique R. Clark, FNP's National Provider Identifier is 1487198255, issued on Dec 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Dec 13, 2016.