SHELLEY L CLARK (NPI# 1093158925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093158925 |
| Entity Type | Individual |
| Full Name | SHELLEY L CLARK |
| Credential | NP |
| Practice Address |
301 Henry St North Vernon IN 47265-1030 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 8123524300 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004374A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504739 | Shelley Clark | Physical Therapy Assistant | 30529 Three Groves Rd, Alma, MO 64001-8122 | 2014-02-27 |
| 1003196718 | Shelley Clark | Physical Therapist | 2803 Rockridge Ct Apt 5, Missoula, MT 59808-9048 | 2011-08-25 |
| 1497371520 | Shelley Clark | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2020-06-24 |
| 1023573102 | Shelley Ann Clark | Registered Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-02-04 |
| 1689066367 | Shelley B Clark | Skilled Nursing Facility | 6520 Sunscope Dr, Ocean Springs, MS 39564-8690 | 2015-03-04 |
| 1942551478 | Shelley Clark | Counselor | 750 Morris Rd Se, Center for Recovery and Wellness, Los Lunas, NM 87031-5242 | 2012-09-24 |
| Street Address |
301 HENRY ST |
| City | NORTH VERNON |
| State | IN |
| Zip Code | 47265-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368629 | Stephanie M Johnson | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2005-10-04 |
| 1578918918 | Chelsea Faith Dugle | Physician Assistant | 301 Henry St, North Vernon, IN 47265-1030 | 2016-05-03 |
| 1265802409 | Katherine Conover | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2015-09-30 |
| 1821493347 | Bradley Stephens | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2014-10-27 |
| 1659796555 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 301 Henry St, North Vernon, IN 47265-1030 | 2014-02-28 |
| 1194159426 | Indiana Emergency Physicians, LLP | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2013-08-22 |
| 1003180548 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-03-01 |
| 1376816975 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, North Vernon, IN 47265-1030 | 2012-02-14 |
| 1801167960 | Karrie Lynn Reuter | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-01-21 |
| 1861783326 | Indiana Physician Management-jennings, LLC | Emergency Medicine | 301 Henry St, North Vernon, IN 47265 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
| 1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
| 1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
| 1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
| 1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
| 1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
| 1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
| 1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
| 1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
| 1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
| Find all providers in zip 47265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982143 | Lynnette Caudill Wickliff | Nurse Practitioner | 301 Henry St Bldg B, North Vernon, IN 47265-1030 | 2005-09-13 |
| 1437625795 | Ana Karen Garcia Gonzalez | Nurse Practitioner | 301 Henry St Bldg B, North Vernon, IN 47265-1030 | 2018-10-15 |
| 1821541434 | Melissa Hoeping | Nurse Practitioner | 301 Henry St Bldg B, North Vernon, IN 47265-1030 | 2016-07-31 |
| 1265802409 | Katherine Conover | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2015-09-30 |
| 1821493347 | Bradley Stephens | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2014-10-27 |
| 1881039717 | Karen J. Smedley | Nurse Practitioner | 301 Henry St Bldg B, North Vernon, IN 47265-1030 | 2013-05-06 |
| 1801167960 | Karrie Lynn Reuter | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-01-21 |
| 1750459913 | Neil Strait Hill North Vernon Family Medicine | Nurse Practitioner | 939 Veterans Dr, Suite A, North Vernon, IN 47265-2602 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH VERNON |
| Zip Code | 47265 |
Please comment or provide details below to improve the information on SHELLEY L CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.