DR. NICOLE RENEE CLARK (NP) – Family Nurse Practitioner, NPI 1104021740

DR. NICOLE RENEE CLARK (NP) is a healthcare provider. based in Sterling heights, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704190098 (MI). The NPI Number for DR. NICOLE RENEE CLARK (NP) is 1104021740

Main info

Female
Name
DR. NICOLE RENEE CLARK (NP)
NPI
1104021740
Phone
Not provided
Address
43232 CHARDONNAY DR
Enumeration Date
15 June 2007
Last Update Date
6 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NICOLE RENEE CLARK (NP)

  • 43232, Chardonnay Drive, Sterling Heights, Macomb County, Michigan, 48314, United States

    STERLING HEIGHTS, MI 483141856

    Phone:

    Type: Mailing

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 898-4355

    Type: Location

  • 408 MEADOW BROOK RD

    ROCHESTER, MI 483094452

    Phone: (248) 370-2341

    Type: Location

  • 1563 ELCROFT CT

    ROCHESTER, MI 483076062

    Phone: (586) 219-7438

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48314)

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Reviews

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Frequently asked questions

Where can patients find DR. NICOLE RENEE CLARK (NP)'s NPI?
You can confirm DR. NICOLE RENEE CLARK (NP) with NPI 1104021740; it appears in the national provider directory.
Is DR. NICOLE RENEE CLARK (NP) active in the national directory?
DR. NICOLE RENEE CLARK (NP)'s public NPI profile is in an active state.
Does DR. NICOLE RENEE CLARK (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for DR. NICOLE RENEE CLARK (NP). Clinical services aligned with this taxonomy classification.
What location shows for DR. NICOLE RENEE CLARK (NP)?
We surface Sterling Heights, Michigan for DR. NICOLE RENEE CLARK (NP) based on available NPPES addresses.
Is DR. NICOLE RENEE CLARK (NP) a real provider?
This page reflects official NPPES data for NPI 1104021740. Always confirm identity and privileges with the practice and licensing boards.

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