Individual
WHITNEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1140 S KNOXVILLE AVE STE B, SAINT MARYS, OH 45885-2609
(419) 394-7314
(419) 394-7313
Mailing address
1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 45885-2609
(419) 300-1129
(419) 394-9575
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.019373
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300634
—
OH
Enumeration date
07/09/2018
Last updated
07/28/2023
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