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

Nicole Marie Clark, APRN

Individual provider Family Nurse Practitioner · NPI 1437765179

Nicole Marie Clark, APRN is a Nurse Practitioner in Venice, Florida. Qualified in 2020, 6 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

600 Nokomis Ave S Ste 102&203
Venice, FL 34285-3209
Phone: (941) 486-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 The Rialto, Venice, FL 34285-2900 — (941) 493-7711

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11009215 (FL)

Record details

NPI number1437765179
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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