Individual provider · Type 1 NPI

Katie Lynn Clark, RN, BSN

Psychiatric/Mental Health Nurse Practitioner · Whitehall, OH

NPI number 1043768104 Active

Practice location

4000 E Main St
Whitehall, OH 43213-3593

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.403462 (OH)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0039904 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043768104

Katie Lynn Clark, RN, BSN's National Provider Identifier is 1043768104, issued on Sep 19, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Whitehall, OH. The record was last updated on Aug 10, 2026.