Search › Ohio › 376J00000X
Shannon Clark
NPI 1568337616 · on the registry since 2025
Practice
- Address
- 311 W Front St
Logan, OH 43138 - Phone
- (740) 270-4484
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-08
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