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

Michael Eric Clark, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1336407444

Michael Eric Clark, RN is a Psychiatric/Mental Health Registered Nurse in Georgetown, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

75 Banting Dr
Georgetown, OH 45121-1460
Phone: (937) 378-4811
Fax: (937) 378-4812
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN 300536 (OH)

Record details

NPI number1336407444
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 26, 2012
Last updated in NPPESApril 26, 2012
Mailing address75 Banting Dr, Georgetown, OH 45121-1460