CHANNEL CLARK, PMHNP-BC
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1477374874
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 2004022119 (MO) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 2024039915 (MO) |
Frequently Asked Questions
NPI 1477374874 is the National Provider Identifier for CHANNEL CLARK, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in Lees Summit, MO. This NPI was enumerated on October 18, 2024.
CHANNEL CLARK, PMHNP-BC practices at 237 NW KESSLER DR APT 307, Lees Summit, MO 64081.
Quick Facts
- NPI
- 1477374874
- Type
- Individual
- Enumerated
- Oct 18, 2024
- Last Updated
- Oct 18, 2024
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