Individual provider · Type 1 NPI

Breanna Faith Clark, MSN, FPMHNP

Psychiatric/Mental Health Nurse Practitioner · Independence, MO

NPI number 1962088559 Active

Practice location

14310 E 42nd St S
Independence, MO 64055-7308

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Other practice locations

  • 4066 Dunnica Ave, St. Louis, MO 63116-3510 · (636) 224-1700

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2021023279 (MO)
Registered Nurse 163W00000X2018002924 (MO)

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

8 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Independence

See all in Independence →

About NPI 1962088559

Breanna Faith Clark, MSN, FPMHNP's National Provider Identifier is 1962088559, issued on Mar 23, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Independence, MO. The record was last updated on Jul 30, 2026.