Individual
SHANNON DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
(614) 475-9821
Mailing address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
(614) 475-9821
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023853
OH
3747A0650X
Attendant Care Provider
RN-253819
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716887
—
OH
Enumeration date
03/12/2007
Last updated
12/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us