SHELLY A CLARK
NPI 1942818646
Specialist - Prosthetics Case Management in Brandon, FL

Active since July 19, 2020
744 W BRANDON BLVD, BRANDON, FL 33511(813) 390-4684 Get Directions Write a Review

NPPES record last updated: July 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly A Clark NPPES

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

SHELLY A CLARK (NPI 1942818646) is an individual prosthetics case management provider in Brandon, Florida and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1942818646
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameSHELLY A CLARK
Location Address744 W BRANDON BLVDBrandon, FL 33511-4902
Mailing Address1019 Milano Cir Apt 108Brandon, FL 33511-7177 · (813) 390-4684
Sole ProprietorYes
Enumeration DateJuly 19, 2020
NPPES CertifiedJuly 19, 2020
NPI 1942818646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
744 W BRANDON BLVD, Brandon, FL 33511

Other Providers at the Same Location NPPES

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

Specialist (Prosthetics Case Management)
744 W BRANDON BLVD
BRANDON, FL 33511

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 Shelly Clark's NPI number?

The NPI number for Shelly Clark is 1942818646. It was assigned to this individual provider in the NPPES registry on July 19, 2020.

Where is Shelly Clark located?

Shelly Clark practices at 744 W Brandon Blvd, Brandon, FL 33511. The listed phone number is (813) 390-4684.

What is Shelly Clark's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Shelly Clark was last updated on July 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.