Clark, Yvonne Y.

Clark, Yvonne Y. is an individual health care provider with primary practice located at 6300 N Main St , Dayton OH 45415-3154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Yvonne Y. can be contacted via phone (937) 275-1500.

Contact Information

Primary practice address
6300 N Main St Dayton OH 45415-3154
Phone: (937) 275-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.07925 Ohio

Profile Details

NPI number 1710963657
LBN Legal business name Clark, Yvonne Y.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 2nd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710963657 NPPES
Ohio MEDICAID 2517342

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