Individual
NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGAC-NP, APRN
Contact information
Practice address
989510 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-9510
(402) 212-1075
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
113268
NE
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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