What is Williette Clark's NPI number?

Williette Clark's National Provider Identifier (NPI) is 1174984934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Williette Clark's specialty?

Williette Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Williette Clark located?

Williette Clark's practice location on file with NPPES is 9311 Willow Creek Dr, Montgomery Village, MD 20886-0422.

What is Williette Clark's phone number?

The practice phone number listed in the NPPES registry for Williette Clark is (240) 751-5779.

Is Williette Clark's NPI active?

Yes — Williette Clark's NPI (1174984934) is active in the NPPES registry as of the last update on 2016-03-08.

IndividualActive

Williette Clark

NPI 1174984934 · Licensed Practical Nurse · Montgomery Village, MD

Williette Clark is a Licensed Practical Nurse provider in Montgomery Village, MD (NPI 1174984934).

Provider details

NPI number: 1174984934
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 1003182 (DC)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 1003182 (DC)
Nursing Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9311 Willow Creek Dr

Apt F

Montgomery Village, MD 20886-0422

Phone: (240) 751-5779

Street-level locationGet directions

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Mailing address