Individual provider · Type 1 NPI

Elise Diane Clark, FNP BC

Nurse Practitioner · Delphos, OH

NPI number 1184619595 Active

Practice location

607 Elida Ave
Delphos, OH 45833-1736

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800

Other practice locations

  • 2875 W Elm St, Lima, OH 45805-2510 · (419) 991-7805

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.06689 (OH)

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…

3 other providers at this address

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About NPI 1184619595

Elise Diane Clark, FNP BC's National Provider Identifier is 1184619595, issued on Sep 13, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Delphos, OH. The record was last updated on Apr 29, 2026.