Individual provider · Type 1 NPI

Shana Elaine Clark, FNP

Family Nurse Practitioner · Bronx, NY

NPI number 1437702479 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (718) 299-6797

Mailing address

1434 Williamsbridge Rd
Bronx, NY 10461-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF344588 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1437702479

Shana Elaine Clark, FNP's National Provider Identifier is 1437702479, issued on Jul 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on May 12, 2026.