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

Nicole Clark, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1881176410

Nicole Clark, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone: (801) 581-2121
Show map & directions

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

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 418-2053

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 13361586-1205 (UT)

Record details

NPI number1881176410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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