Individual provider · Type 1 NPI

Erica J. Clark, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Taylorsville, UT

NPI number 1407780141 Active

Practice location

5770 S 1500 W
Taylorsville, UT 84123-5216

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X12644807-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X12644807-8900 (UT)

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

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About NPI 1407780141

Erica J. Clark, PMHNP-BC's National Provider Identifier is 1407780141, issued on Jun 9, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Taylorsville, UT. The record was last updated on Aug 26, 2026.