Clark, Breanna Faith

Clark, Breanna Faith is an individual health care provider with primary practice located at 14310 E 42Nd St S , Independence MO 64055-7308. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Breanna Faith can be contacted via phone (816) 254-3652.

Contact Information

Primary practice address
14310 E 42Nd St S Independence MO 64055-7308
Phone: (816) 254-3652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2021023279 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 2018002924 Missouri

Profile Details

NPI number 1962088559
LBN Legal business name Clark, Breanna Faith
Credentials MSN, FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2021
Last updated Jul 30th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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