Individual provider · Type 1 NPI
Shinika Clark, NP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Daytona Beach, FL
NPI number
1417679176
Active
Practice location
1190 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Fax (386) 206-8069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | RN9392948 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11022123 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1417679176
Shinika Clark, NP, PMHNP's National Provider Identifier is 1417679176, issued on Sep 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Daytona Beach, FL. The record was last updated on Sep 10, 2024.