Individual provider · Type 1 NPI

Shannon Whitney Clark, PHYSICIAN ASSISTANT

Physician Assistant · Enid, OK

NPI number 1811569270 Active

Practice location

915 E Owen K Garriott Rd Ste D
Enid, OK 73701-6153

Fax (580) 599-0649

Mailing address

802 W Wheat Capital Rd
Enid, OK 73701-8756

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4606 (OK)
Medical Physician Assistant 363AM0700X4606 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1811569270

Shannon Whitney Clark, PHYSICIAN ASSISTANT's National Provider Identifier is 1811569270, issued on Jul 14, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Enid, OK. The record was last updated on Sep 22, 2026.