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JULIANNE ALYSSA CLARK ARNP
NPI 1417253170
Nurse Practitioner - Pediatrics in Shawnee, OK

Active since January 28, 2011
3315 KETHLEY RD, SHAWNEE, OK 74804(405) 273-5801(405) 878-3814 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julianne Alyssa Clark Arnp NPPES

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

JULIANNE ALYSSA CLARK ARNP (NPI 1417253170) is an individual pediatrics provider in Shawnee, Oklahoma, licensed in Oklahoma (61442) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1417253170
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJULIANNE ALYSSA CLARKCredential: ARNP
Location Address3315 KETHLEY RDShawnee, OK 74804-9638
Mailing AddressPo Box 849Shawnee, OK 74802-0849 · (405) 273-5801 · Fax (405) 878-3814
Phone(405) 273-5801
Fax(405) 878-3814
Sole ProprietorNo
Enumeration DateJanuary 28, 2011
Last NPPES UpdateAugust 29, 2012
✔ NPI 1417253170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OK · 61442
3315 KETHLEY RD, Shawnee, OK 74804
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Other Names 1

Former Name (1)Julianne Alyssa Carter

Other Identifiers 1

Other61442OK · Ok License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY PATRICK HOLTER MD
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
LAYNIE DAWN SHEBESTER PA-C
Physician Assistant
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
DR. GRANT LEE MCCLUNE MD
Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
SHAWNEE MEDICAL CENTER CLINIC, INC
Orthopaedic Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
DR. MICHAEL W. BUTCHER M.D.
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
DR. KELLI DENISE KOONS M.D.
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
SHIVENDRA BANSAL M.D.
Family Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801
DR. KANWAL KAUR OBHRAI MD
Pediatrics
3315 KETHLEY RD
SHAWNEE, OK 74804
Pottawatomie County (405) 273-5801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julianne Clark's NPI number?

The NPI number for Julianne Clark is 1417253170. It was assigned to this individual provider in the NPPES registry on January 28, 2011. The provider is also known as Julianne Alyssa Carter.

Where is Julianne Clark located?

Julianne Clark practices at 3315 Kethley Rd, Shawnee, OK 74804. The listed phone number is (405) 273-5801.

What is Julianne Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Julianne Clark accept?

Health plans from Medica and Mending Health list Julianne Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Julianne Clark was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.