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

Kelly Anne Clark, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083450084

Kelly Anne Clark, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Maineville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

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

See every abbreviation used in this directory →

Practice location Address checks out

7916 Carraway Ct
Maineville, OH 45039-8994
Phone: (513) 505-0588
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0036958 (OH)

Record details

NPI number1083450084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJune 25, 2024

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