Nichole N Clark is a Mchenry, Illinois based nurse practitioner with 5 years of experience in . She completed her graduation in 2019. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nichole N Clark is 209019549 for Family in Illinois. Her current practice location is 633 Ridgeview Dr, Mchenry. Patients can reach her at 815-344-0621 or can fax her at 815-344-0664. Nichole N Clark is APNP and her NPI number (Unique professional ID assigned by NPPES) is 1093377905. Nichole N 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:
Nichole N Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
PAC ID:
6800121062
Enrollment ID:
I20200609000464
NPI Number:
1093377905
NPI Enumeration Date:
01 Jul, 2019
NPI Last Update On:
14 Dec, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nichole N Clark are as mentioned below.
License Number
Specialization
State
Status
209019549
Family
Illinois
Primary
10067
Nurse Practitioner
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520208)
Janesville, WI
Acute Care Hospital
(520083)
Madison, WI
Acute Care Hospital
(521319)
Edgerton, WI
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Nichole N Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dean Health Systems Inc (7012827983)
956
Other Medical Identifiers:
Other legacy medical identifiers associated with Nichole N Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1093377905
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nichole N Clark 29373 Network Pl, Chicago, Illinois
Zip:
60673-2334
Phone Number:
847-390-5900
Patients can reach Nichole N Clark at 633 Ridgeview Dr, Mchenry, Illinois or can call to book an appointment on 815-344-0621.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.