Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra Clark, PNP

Individual provider Nurse Practitioner · NPI 1336525625

Debra Clark, PNP is a Nurse Practitioner in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

1040 Vinehaven Dr NE
Concord, NC 28025-2438
Phone: (704) 784-1010
Fax: (704) 784-1013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5007863 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5007863 (NC)

Record details

NPI number1336525625
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address1040 Vinehaven Dr Ne, Concord, NC 28025-2438

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