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

Illise Clark, FNP-NP

Individual provider Registered Nurse · NPI 1396004776

Illise Clark, FNP-NP is a Registered Nurse in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
Specialties on file
2

Practice location Address checks out

8881 Schaeffer St
Mentor, OH 44060-5035
Phone: (440) 255-9309
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0022454 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.371331 (OH)

Record details

NPI number1396004776
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-NP
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Other providers in Mentor