Search › Ohio › 363LF0000X
Illise Clark, FNP-NP
NPI 1396004776 · on the registry since 2012
Practice
- Address
- 8881 Schaeffer St
Mentor, OH 44060 - Phone
- (440) 255-9309
- Organisation at this address
- Western Reserve Healthcare Co., Llc
Mentor Way Nursing & Rehabilitation Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio