Clark, Nicole

Clark, Nicole is an individual health care provider with primary practice located at 10455 Lincoln Hwy , Everett PA 15537-7046. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Clark, Nicole can be contacted via phone (814) 623-6161.

Contact Information

Primary practice address
10455 Lincoln Hwy Everett PA 15537-7046
Phone: (814) 623-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0031682 Vermont
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MA061686 Pennsylvania

Profile Details

NPI number 1720606130
LBN Legal business name Clark, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2020
Last updated Jul 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers