Erin Noelle Clark

Pediatric Nurse Practitioner · Grants Pass, OR

Individual Active NPI

NPI number 1770177941

Practice location

495 SW Ramsey Ave
Grants Pass, OR 97527-5681
Phone
(541) 476-6644

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NPI record

NPI
1770177941
Entity type
Individual (Type 1)
Enumeration date
February 26, 2021
Last updated
February 26, 2021
Certified
February 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 202101839NP-PP OR

Mailing address

275 Westwood Dr
Grants Pass, OR 97527-7231
Phone
(541) 660-0169

About Erin Clark

Erin Noelle Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 495 SW Ramsey Ave, Grants Pass, OR 97527-5681. The NPI number 1770177941 was assigned on February 26, 2021 and the record was last updated on February 26, 2021.

Erin Clark lists a license in the registry: #202101839NP-PP (OR) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Erin Noelle Clark?

The NPI number is 1770177941.

What is the phone number of Erin Clark?

The phone number listed for the practice location is (541) 476-6644.

Where is Erin Clark located?

495 SW Ramsey Ave, Grants Pass, OR 97527-5681.

What is the taxonomy code for Erin Clark?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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