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NPI 1508079328

IndividualActive

Debra Clark, RN

NPI 1508079328 · Pediatric Registered Nurse · Granite City, IL

Provider details

NPI number: 1508079328
Entity type: Individual
Primary specialty: Pediatric Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No

Practice location

2044 Madison Ave

Suite G7

Granite City, IL 62040-4641

Phone: (618) 451-6685

Fax: (618) 451-7292

More IL providers

Mailing address

2044 Madison Ave

Granite City, IL 62040-4641

Registry dates

Enumerated: 2007-05-08
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Debra Clark, RN — NPI 1508079328, Granite City, IL | NPI Central