Individual provider · Type 1 NPI

Shannon Denise Clark, CNP

Psychiatric/Mental Health Nurse Practitioner · Columbus, OH

NPI number 1881726271 Active

Practice location

2 Easton Oval Ste 450
Columbus, OH 43219-6035

Fax (614) 475-9821

Other practice locations

  • 8256 Harrisburg Rd, Orient, OH 43146-9528 · (614) 877-3631

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.023853 (OH)
Attendant Care Provider 3747A0650XRN-253819 (OH)

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

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About NPI 1881726271

Shannon Denise Clark, CNP's National Provider Identifier is 1881726271, issued on Mar 12, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, OH. The record was last updated on Dec 11, 2018.