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VONTISHA SHAVRON CLARK
NPI 1972490258
Driver in Williston, ND

Active since June 19, 2025
3315 2ND AVE E APT 102, WILLISTON, ND 58801(701) 651-6625(701) 651-6625 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vontisha Shavron Clark NPPES

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

VONTISHA SHAVRON CLARK (NPI 1972490258) is an individual driver provider in Williston, North Dakota, licensed in North Dakota (CLA806348) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1972490258
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameVONTISHA SHAVRON CLARK
Location Address3315 2ND AVE E APT 102Williston, ND 58801-2815
Mailing Address3315 2nd Ave E Apt 102Williston, ND 58801-2815 · (701) 651-6625
Phone(701) 651-6625
Fax(701) 651-6625
Sole ProprietorYes
Enumeration DateJune 19, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1972490258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in ND · CLA806348
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3315 2ND AVE E APT 102, Williston, ND 58801
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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

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 Vontisha Clark's NPI number?

The NPI number for Vontisha Clark is 1972490258. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Vontisha Clark located?

Vontisha Clark practices at 3315 2nd Ave E Apt 102, Williston, ND 58801. The listed phone number is (701) 651-6625.

What is Vontisha Clark's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Vontisha Clark was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.