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BERNICE MONIQUE CLARK APRN
NPI 1497563936
Nurse Practitioner - Psychiatric/Mental Health in Mishawaka, IN

Active since December 30, 2024
60205 BODNAR BLVD, MISHAWAKA, IN 46544(574) 325-5961 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernice Monique Clark Aprn NPPES

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

BERNICE MONIQUE CLARK APRN (NPI 1497563936) is an individual psychiatric/mental health provider in Mishawaka, Indiana, licensed in Indiana (71016172A) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1497563936
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBERNICE MONIQUE CLARKCredential: APRN
Location Address60205 BODNAR BLVDMishawaka, IN 46544-9342
Mailing Address1133 Obrien StSouth Bend, IN 46628-2541 · (574) 217-6906
Phone(574) 325-5961
Sole ProprietorYes
Enumeration DateDecember 30, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1497563936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71016172A
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 71016172A (IN)
60205 BODNAR BLVD, Mishawaka, IN 46544
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

AVENUES RECOVERY CENTER AT SOUTH BEND LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
60205 BODNAR BLVD
MISHAWAKA, IN 46544
St. Joseph County (732) 967-2635
AVENUES RECOVERY CENTER AT SOUTH BEND LLC
Substance Abuse Rehabilitation Facility
60205 BODNAR BLVD
MISHAWAKA, IN 46544
St. Joseph County (732) 967-2635
KATHALEEN L THOMAS FNP
Nurse Practitioner (Family)
60205 BODNAR BLVD
MISHAWAKA, IN 46544
St. Joseph County (574) 345-0246

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 Bernice Clark's NPI number?

The NPI number for Bernice Clark is 1497563936. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Bernice Clark located?

Bernice Clark practices at 60205 Bodnar Blvd, Mishawaka, IN 46544. The listed phone number is (574) 325-5961.

What is Bernice Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bernice Clark was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.