Provider Profile

Illise Clark, FNP-NP

Unclaimed Profile

About Illise Clark

Illise Clark, FNP-NP is a nurse practitioner — family practicing in Mentor, OH. Illise is also listed as specializing in registered nurse.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Nurse Practitioner — Family (Primary)
Nurse Practitioner — Family (Additional)

Credentials & Licensing

OH licenseRN.371331
OH licenseAPRN.CNP.0022454
NPI1396004776
NPI issued05/07/2012

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Illise Clark specialize in?

Illise Clark is a nurse practitioner in Mentor, OH. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Illise Clark located?

Illise Clark is listed at 8881 Schaeffer St, Mentor, OH 44060. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Illise Clark's phone number?

The number on file is (440) 255-9309. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Illise Clark's NPI number?

Illise Clark's National Provider Identifier is 1396004776. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Illise Clark been practicing?

Illise Clark has 14+ years experience. Registered with an NPI since 2012. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Illise Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Illise Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.