Angela Cecile Clark, DNP-FNP

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4704198035 Issued in MI

Practice address

1109 Bishop Rd
Grosse Pointe Park, MI 48230-1422

Phone

(313) 402-4877

NPI assigned

Sep 23, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1073485553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301422",
            "telephone_number": "313-402-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301422",
            "telephone_number": "313-402-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANGELA",
        "middle_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4704198035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care for You Home Care Service L.L.C
• Nicole Carlson
• Erin Louise Castile, LMSW
• Laura Wilton Chin, MA, CCC-SLP
• City of Grosse Pointe Park
• Classy Comfortt Care LLC
• Clyde Wu, M.D.
• Community Social Services of Wayne County
• Emily Anne Compton, MPH, RDN
• Ieasha M Conner, CNA

• Student in an Organized Health Care Education/Training Program in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.