ELLA ROSE CLARK
NPI 1013880335
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 24, 2025

3640 COLONEL GLENN HWY, BEAVERCREEK, OH 45324(937) 775-3490 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ella Rose Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLA ROSE CLARK (NPI 1013880335) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1013880335

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELLA ROSE CLARK

Location Address3640 COLONEL GLENN HWYBeavercreek, OH 45324-2029

Mailing Address92 Ceramic DrColumbus, OH 43214-3004

Phone(937) 775-3490

Sole ProprietorYes

Enumeration DateSeptember 24, 2025

Last NPPES UpdateJanuary 14, 2026

NPPES CertifiedJanuary 14, 2026

✔ NPI 1013880335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3640 COLONEL GLENN HWY, Beavercreek, OH 45324

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