MRS. SHANNON JACKIE CLARK
NPI 1700940855
Contractor in Vail, AZ
About Mrs. Shannon Jackie Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON JACKIE CLARK (NPI 1700940855) is an individual contractor provider in Vail, Arizona, licensed in Arizona (11816) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Shannon Clark's NPI number?
The NPI number for Shannon Clark is 1700940855. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Shannon Clark located?
Shannon Clark practices at 12729 S Ox Cart Trl, Vail, AZ 85641. The listed phone number is (512) 214-2841.
What is Shannon Clark's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for Shannon Clark was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.