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

Channel Trenise Clark, PMHNP-BC

Individual provider Registered Nurse · NPI 1477374874

Channel Trenise Clark, PMHNP-BC is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2024, 2 years ago. Practices with Truman Medical Center Incorporated, a 242-clinician group. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

237 NW Kessler Dr Apt 307
Lees Summit, MO 64081-4173
Phone: (816) 289-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2024039915 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2004022119 (MO)

Record details

NPI number1477374874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Truman Medical Center Incorporated — 242 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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