Individual provider · Type 1 NPI

Bernice Monique Clark, APRN

Psychiatric/Mental Health Nurse Practitioner · Mishawaka, IN

NPI number 1497563936 Active

Practice location

60205 Bodnar Blvd
Mishawaka, IN 46544-9342

Mailing address

1133 Obrien St
South Bend, IN 46628-2541

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X71016172A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71016172A (IN)

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

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About NPI 1497563936

Bernice Monique Clark, APRN's National Provider Identifier is 1497563936, issued on Dec 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mishawaka, IN. The record was last updated on Jul 29, 2025.