Individual provider · Type 1 NPI
Shonda T. Clark, NP
Nurse Practitioner · Chicago, IL
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1447
Mailing address
1600 Coit Rd Ste 104
Plano, TX 75075-6171
Other practice locations
- 1600 Coit Rd Ste 104, Plano, TX 75075-6171 · (972) 566-5411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1018533 (TX) |
| Nurse Practitioner Primary | 363L00000X | 209011572 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1114308251
Shonda T. Clark, NP's National Provider Identifier is 1114308251, issued on Jun 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 24, 2021.