What is Nicholle Clark's NPI number?

Nicholle Clark's National Provider Identifier (NPI) is 1790294296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicholle Clark's specialty?

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

Where is Nicholle Clark located?

Nicholle Clark's practice location on file with NPPES is 11531 Sunderland Rd, Marion, IL 62959-8274.

What is Nicholle Clark's phone number?

The practice phone number listed in the NPPES registry for Nicholle Clark is (618) 964-5139.

Is Nicholle Clark's NPI active?

Yes — Nicholle Clark's NPI (1790294296) is active in the NPPES registry as of the last update on 2017-09-27.

IndividualActive

Nicholle Clark, LPN

NPI 1790294296 · Licensed Practical Nurse · Marion, IL

Nicholle Clark, LPN is a Licensed Practical Nurse provider in Marion, IL (NPI 1790294296).

Provider details

NPI number: 1790294296
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: No
License: 043.124620 (IL)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 043.124620 (IL)
Nursing Service Providers

Profile Score

Established profile(69/100 index)

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

Registry tenure38% of score
8 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

11531 Sunderland Rd

Marion, IL 62959-8274

Phone: (618) 964-5139

Street-level locationGet directions

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Mailing address