Individual provider · Type 1 NPI
Nicole Marie Clark, APRN
Family Nurse Practitioner · Mantua, NJ
NPI number
1689395311
Active
Practice location
1141 Mantua Pike
Mantua, NJ 08051-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ01365300 (NJ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1689395311
Nicole Marie Clark, APRN's National Provider Identifier is 1689395311, issued on Sep 9, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mantua, NJ. The record was last updated on Sep 9, 2022.