NICOLE CLARK-WARD (NPI# 1972993574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972993574 |
| Entity Type | Individual |
| Full Name | NICOLE CLARK-WARD |
| Credential | FNP-BC |
| Practice Address |
201 W 2nd Ave Ste A Gastonia NC 28052-4091 |
| Mailing Address |
4790 Turnridge Ct Nw Concord NC 28027-3402 |
| Practice Telephone | 7046714047 |
| Mailing Telephone | 7049657772 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5007450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5007450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5007450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 W 2ND AVE STE A |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851685689 | Infinite Beginnings, LLC | Nurse Practitioner | 201 W 2nd Ave Ste A, Gastonia, NC 28052-4091 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.