BERNICE MONIQUE CLARK APRN NPI 1497563936

NPI Information

  • NPI: 1497563936
  • Provider Name: BERNICE MONIQUE CLARK, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 60205 BODNAR BLVD
    MISHAWAKA, IN
    ZIP 46544
  • Phone: (574) 325-5961

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NPI Details

Bernice Monique Clark, APRN is a psychiatric/mental health nurse practitioner in Mishawaka, IN. Bernice Monique Clark, APRN NPI is 1497563936. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

60205 BODNAR BLVD
MISHAWAKA, IN
ZIP 46544-342
Phone: (574) 325-5961

The enumeration date for this NPI number is 12/30/2024 and was last updated on 7/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health71016172AINDIANANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health71016172AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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