Individual provider · Type 1 NPI
Illise Clark, FNP-NP
Family Nurse Practitioner · Mentor, OH
NPI number
1396004776
Active
Practice location
8881 Schaeffer St
Mentor, OH 44060-5035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.371331 (OH) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.0022454 (OH) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Mentor
- Blake WollamFamily Nurse Practitioner Mentor, OH NPI 1013643048
- Shari Lynn Chavis, NPFamily Nurse Practitioner Mentor, OH NPI 1043628399
- Megan Y. Boogaart, CFNPFamily Nurse Practitioner Mentor, OH NPI 1063412435
- Kristen Leah Smylie, FNPFamily Nurse Practitioner Mentor, OH NPI 1073718383
- Jeena Shailesh Shah, FNPFamily Nurse Practitioner Mentor, OH NPI 1083074322
- Mari E. Mattocks, NPFamily Nurse Practitioner Mentor, OH NPI 1144763848
- Gina M. Sumpter, NPFamily Nurse Practitioner Mentor, OH NPI 1164916003
- Jozefina Diaz, NP-CFamily Nurse Practitioner Mentor, OH NPI 1184189854
About NPI 1396004776
Illise Clark, FNP-NP's National Provider Identifier is 1396004776, issued on May 7, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mentor, OH. The record was last updated on May 12, 2026.