Shannon Denise Clark in Columbus - Psychiatric/mental Health
Shannon Denise Clark - NPI 1881726271
Shannon Denise Clark is a Psychiatric/mental Health in Columbus, Ohio. Shannon Denise Clark practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Shannon Denise Clark is 1881726271. The last update date is 2018-12-11.
Shannon Denise Clark's current location address is 2 Easton Oval Ste 450, Columbus, Ohio. You can contact this provider via phone number 6144759500 and fax number 6144759821. The mailing address for Shannon Denise Clark is 2 Easton Oval Ste 450, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Denise Clark |
|---|---|
| Address | 2 Easton Oval Ste 450, Columbus, Ohio |
| Phone Number | 6144759500 |
| Fax Number | 6144759821 |
| Sole Proprietor | Y |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1881726271 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2018-12-11 |
Provider Mailing Address Detail
| Address | 2 Easton Oval Ste 450 |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432196035 |
| Phone Number | 6144759500 |
| Fax Number | 6144759821 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | APRN.CNP.023 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2716887 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Denise Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Denise Clark has been assigned the NPI (National Provider Identifier) 1881726271. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Shannon Denise Clark located?
The Shannon Denise Clark is located at 2 Easton Oval Ste 450, Columbus, OH 432196035.
What is the Shannon Denise Clark's specialty and taxonomy code?
The Shannon Denise Clark's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881726271 to Shannon Denise Clark?
The Shannon Denise Clark received its 1881726271 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information regarding Shannon Denise Clark most recently updated?
The details pertaining to the Shannon Denise Clark, including its address, specialty, and other relevant information, were last refreshed on 2018-12-11.