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SHELLY A CLARK NPI 1942818646


NPI Information

NPI: 1942818646
Provider Name: SHELLY A CLARK
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
744 W BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 390-4684
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Shelly A Clark is a prosthetics case management specialist in Brandon, FL. Shelly A Clark NPI is 1942818646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

744 W BRANDON BLVD
BRANDON, FL
ZIP 33511-902
Phone: (813) 390-4684

The enumeration date for this NPI number is 7/19/2020 and was last updated on 7/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11744P3200XSpecialistProsthetics Case ManagementYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.