Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NIKKI J CLARK
Active
Individual
NIKKI J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
893588
MS
363LF0000X
Family Nurse Practitioner
Primary
1180324
TX
363LF0000X
Family Nurse Practitioner
893588
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05436046
—
MS
05
—
1484259
—
ND
Enumeration date
03/10/2016
Last updated
03/04/2026
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