Mary Ellen Clark, CFNP
Mary Ellen Clark, CFNP is a Nurse Practitioner in Warren, Indiana. Qualified in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Indiana, New Mexico and Oregon.
- Years since qualifying
- 14
- Licensed in
- ID, IN, NM, OR
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
824 Huntington AveWarren, IN 46792-9277
Phone: (260) 375-2965
Fax: (260) 375-2969
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 — (208) 828-7635
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71016668A (IN) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence CNP-02460 (NM) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 66049 (ID) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 201250210NP (OR) |
Record details
| NPI number | 1891031621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CFNP |
| Sole proprietor | No |
| NPI enumerated | December 26, 2012 |
| Last updated in NPPES | October 7, 2025 |
| Certification date | October 7, 2025 |
| Mailing address | 240 N Tillotson Ave, Muncie, IN 47304-3988 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Warren
-
Amber McClain, FNP-C
824 Huntington Ave, Warren, IN 46792-9277 · (260) 375-2965