# DR. DESSYE-DEE M CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801802855
- **Gender:** F
- **Credential:** ARNP, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 283297 | CA | — |
| 163W00000X | Registered Nurse | RN00094578 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 30002196 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NUR-APRN-LIC-99982 | MT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN29998 | MT | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | AP30002196 | WA | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | RN29998 | MT | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | AP30002196 | WA | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | RN29998 | MT | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 03/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0004304872 | — | MT |
| 01 | — | 29998 | APRN | MT |
| 01 | — | 30002196 | ARNP | WA |