Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Faith Clark, MSN, FPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962088559

Breanna Faith Clark, MSN, FPMHNP is a Nurse Practitioner in Independence, Missouri. Qualified in 2021, 5 years ago. Practices with Burrell Inc, a 215-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

14310 E 42nd St S
Independence, MO 64055-7308
Phone: (816) 254-3652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4066 Dunnica Ave, Saint Louis, MO 63116-3510 — (636) 224-1700

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2021023279 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2018002924 (MO)

Record details

NPI number1962088559
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FPMHNP
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Burrell Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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