Nurse Practitioner, Pediatrics
DEBRA CLARK PNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1336525625 · enumerated 2015-08-10 · record updated 2024-08-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1040 VINEHAVEN DR NE, CONCORD, NC, 28025-2438 (704) 784-1010 Fax (704) 784-1013 Google Maps Apple Maps OpenStreetMap
- Mailing address 1040 VINEHAVEN DR NE, CONCORD, NC, 28025-2438 (704) 784-1010 Fax (704) 784-1013 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 5007863 NC
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 5007863 NC
In this directory
Locations and evidence
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Practice location
CONCORD, NC, 280252438
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.