Dr NICHOLE D CLARK NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2004 from Vanderbilt University School Of Medicine.
HOPE MEDICAL CLINIC INC
145 SHAKE RAG RD
CLINTON
AR
720316682
Tel: 5017457161
| Npi | 1548464936 |
| Pac Id | 5597797506 |
| Professional Enrollment Id | I20100219000050 |
| Last Name | CLARK |
| First Name | NICHOLE |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | HOPE MEDICAL CLINIC INC |
| Group Practice Pac Id | 9739223462 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 145 SHAKE RAG RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON |
| State | AR |
| Zip Code | 720316682 |
| Phone Number | 5017457161 |
| Hospital Affiliation Ccn 1 | 040029 |
| Hospital Affiliation Lbn 1 | CONWAY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 041313 |
| Hospital Affiliation Lbn 2 | OZARK HEALTH |
| Hospital Affiliation Ccn 3 | 040114 |
| Hospital Affiliation Lbn 3 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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