Debra Clark

PNP | Nurse Practitioner

Debra Clark is a Concord, North Carolina based nurse practitioner. Active license number of Debra Clark is 5007863 for Pediatrics in North Carolina. Her current practice location is 1040 Vinehaven Dr Ne, Concord. Patients can reach her at 704-784-1010 or can fax her at 704-784-1013. Debra Clark is PNP and her NPI number (Unique professional ID assigned by NPPES) is 1336525625.
Debra Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Debra Clark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Debra Clark
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: PNP
Practice Address:1040 Vinehaven Dr Ne, Concord,
North Carolina, 28025-2438
Phone:704-784-1010
Fax:704-784-1013
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1336525625
NPI Enumeration Date: 10 Aug, 2015
NPI Last Update On: 02 Aug, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Debra Clark are as mentioned below.
License NumberSpecializationStateStatus
5007863Pediatrics North CarolinaPrimary
5007863Nurse Practitioner North CarolinaSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Debra Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1336525625MedicaidNorth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Debra Clark
1040 Vinehaven Dr Ne,
Concord, North Carolina
Zip: 28025-2438
Phone Number: 704-784-1010
Fax Number: 704-784-1013
Patients can reach Debra Clark at 1040 Vinehaven Dr Ne, Concord, North Carolina or can call to book an appointment on 704-784-1010.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.