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

Clark Carroll, APNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962773648

Clark Carroll, APNP is a Psychiatric/Mental Health Nurse Practitioner in Janesville, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

1820 Center Ave Ste 170
Janesville, WI 53546-2878
Phone: (608) 755-1475
Fax: (608) 755-1733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 W Washington Ave, Madison, WI 53703-2637 — (608) 280-2700

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7914 (WI)

Record details

NPI number1962773648
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address203 W Sunny Ln, Janesville, WI 53546-9091

Other providers in Janesville