Clark, Shannon Whitney

Clark, Shannon Whitney is an individual health care provider with primary practice located at 600 S Monroe St , Enid OK 73701-7211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clark, Shannon Whitney can be contacted via phone (580) 233-2300.

Contact Information

Primary practice address
600 S Monroe St Enid OK 73701-7211
Phone: (580) 233-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4606 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4606 Oklahoma

Profile Details

NPI number 1811569270
LBN Legal business name Clark, Shannon Whitney
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2021
Last updated Sep 30th, 2021 - about 5 years 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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