Clark, Whitney Nicole

Clark, Whitney Nicole is an individual health care provider with primary practice located at 1140 S Knoxville Ave Ste B , Saint Marys OH 45885-2609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clark, Whitney Nicole can be contacted via phone (419) 394-7314.

Contact Information

Primary practice address
1140 S Knoxville Ave Ste B Saint Marys OH 45885-2609
Phone: (419) 394-7314
Fax: (419) 394-7313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.019373 Ohio

Profile Details

NPI number 1033605431
LBN Legal business name Clark, Whitney Nicole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jul 28th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033605431 NPPES
Ohio MEDICAID 0300634

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