Individual
RACHEL L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2500
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704336827
MI
Other
Enumeration date
01/26/2016
Last updated
12/01/2025
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