Clark, Shinika

Clark, Shinika is an individual health care provider with primary practice located at 285 Clyde Morris Blvd Ste 300 , Ormond Beach FL 32174-8144. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Rehabilitation. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Shinika can be contacted via phone (386) 672-7113.

Contact Information

Primary practice address
285 Clyde Morris Blvd Ste 300 Ormond Beach FL 32174-8144
Phone: (386) 672-7113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11022123 Florida
Nursing Service Providers / Rehabilitation 163WR0400X RN9392948 Florida

Profile Details

NPI number 1417679176
LBN Legal business name Clark, Shinika
Credentials NP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Apr 24th, 2024 - about 7 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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