# SIERRA CLARK

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

## Provider details

- **NPI number:** 1821672460
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01093583A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | APP-000462558 | OH | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | OH | — |

## Other

- **Enumeration date:** 05/10/2021
- **Last updated:** 09/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300118453 | — | IN |