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

Letricia Lenise Clark, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255844023

Letricia Lenise Clark, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

461 W Huron St Ste 107
Pontiac, MI 48341-1601
Phone: (248) 724-7600
Fax: (248) 724-6800
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704261814 (MI)

Record details

NPI number1255844023
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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