Mrs. Shannon Whitney Clark, PHYSICIANASSISTANT
Mrs. Shannon Whitney Clark, PHYSICIANASSISTANT is a Physician Assistant in Enid, Oklahoma. Qualified in 2021, 5 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 5
- Licensed in
- OK
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
600 S Monroe StEnid, OK 73701-7211
Phone: (580) 233-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4606 (OK) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 4606 (OK) |
Record details
| NPI number | 1811569270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | July 14, 2021 |
| Last updated in NPPES | September 30, 2021 |
| Certification date | September 30, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Oliver Street 5.01(A) Inc — 168 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Enid
-
Krista B Braud, PA-C
721 W Broadway Ave Ste C, Enid, OK 73701-3800 · (580) 297-5340
-
Kaylee Dawn Knowles, PA
600 S Monroe St, Enid, OK 73701-7211 · (580) 977-1960
-
Jana Nikole Morris, PA-C
305 S 5th St, Enid, OK 73701-5832 · (580) 233-6100
-
Chad M Schroeder, PA-C
825 E Owen K Garriott Rd, Enid, OK 73701-5928 · (580) 701-2586
-
Stephanie Arlene Whatley, PA
2821 N Van Buren St Ste B, Enid, OK 73703-1729 · (580) 213-9794