SHALITA CLARK


Address: 1108 Ross Clark Cir, Dothan, AL 36301-3022
Phone: 3347123635

SHALITA CLARK (NPI# 1396214060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396214060
Entity Type Individual
Full Name SHALITA CLARK
Credential CRNP
Practice Address 1108 Ross Clark Cir
Dothan
AL 36301-3022
Mailing Address 120 Fairlane Dr
Pleasant Grove
AL 35127-2741
Practice Telephone 3347123635
Practice Fax Number 3346994387
Mailing Telephone 2059360429
Enumeration Date 2018-11-24
Last Update Date 2018-11-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
1-147364 AL Allopathic & Osteopathic Physicians

Office Location

Street Address 1108 ROSS CLARK CIR
City DOTHAN
State AL
Zip Code 36301-3022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576268 Judith L Bosse Nurse Practitioner 1108 Ross Clark Cir, Hospitalist Office, Dothan, AL 36301-3022 2005-05-27
1811597073 Michael Brian Pierce Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-10-27
1659990901 Robert Dale Garrett Nurse Anesthetist, Certified Registered 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-04-15
1861028607 Richard Henry Jester Physician Assistant 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-03-12
1467017335 Keaton Peak Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301 2019-05-07
1619452760 Drew Mckenzie Hubbard Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2018-09-25
1609359926 Amber Salmon Dietitian, Registered 1108 Ross Clark Cir, Dothan, AL 36301-3024 2018-09-12
1255825832 Shannon Louette Skaug Nurse Practitioner 1108 Ross Clark Cir, Dothan, AL 36301-3024 2018-06-18
1225529712 Vyshnavi Kone Student in an Organized Health Care Education/Training Program 1108 Ross Clark Cir, Dothan, AL 36301 2018-05-21
1811487549 Sheila Elaine Starling Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2018-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043862931 Pharmacy Center South LLC Pharmacy 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 2019-07-11
1851879167 Attallah Cotton Social Worker 101 Eastridge Dr, Dothan, AL 36301 2018-07-31
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1750805818 Kimberly Danielle Austin Speech-Language Pathologist 404 Darlington Cir, Dothan, AL 36301 2017-07-31
1952794885 Lori P. Granberry Pharmacist 2131 Ross Clark Circle, Dothan, AL 36301 2015-03-17
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1720407646 Michael Kreger Anesthesiology 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 2014-04-08
1063851277 Carlos Stanford Clark II Family Medicine 201 Doctors Drive, Dothan, AL 36301 2013-06-20
1639489313 Robert Fort Hambaugh Jr. Specialist 712 Woodland Drive, Dothan, AL 36301 2010-10-15
1588894976 Atwill Lamar Miller Jr. Urology 1908 Fairview Avenue, Dothan, AL 36301 2009-07-20
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194353672 Jamison Behavioral Wellness LLC Psychiatry & Neurology 256 Honeysuckle Rd Ste 12, Dothan, AL 36305-1168 2020-03-30
1316444912 Dr. Graham Psychiatric Services, LLC Psychiatry & Neurology 256 Honeysuckle Rd Ste 2, Dothan, AL 36305-1168 2018-04-10
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1124325121 Stephanie Parrish Psychiatry & Neurology 1672 Columbia Hwy, Dothan, AL 36303-5434 2011-02-28
1871749572 Leona Jean Graham Psychiatry & Neurology 1865 Honeysuckle Rd Ste 2, Southeast Alabama Medical Center- Altacare, Dothan, AL 36305-4287 2008-08-13
1417020322 Madeline Fay Ferrell Psychiatry & Neurology 114 E Troy St, Dothan, AL 36303-4844 2006-11-16
1629160890 Dinesh K Karumanchi Psychiatry & Neurology 3753, Ste 4, Ross Clark Cir, Dothan, AL 36303-3089 2006-09-28
1396840047 Medical Specialties of Dothan, PC Psychiatry & Neurology 207 Haven Drive, Dothan, AL 36301 2006-09-14
1366403255 Sam Carroll West Psychiatry & Neurology 207 Haven Dr, Dothan, AL 36301-2919 2006-03-30
1053391581 Dothan Psychiatric, PC Psychiatry & Neurology 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 2006-01-19
Find all providers in DOTHAN

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City DOTHAN
Zip Code 36301

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Dataset Information

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.

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