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

Shannon L Clark, RNCCM

Individual provider School Registered Nurse · NPI 1255052031

Shannon L Clark, RNCCM is a School Registered Nurse in Tempe, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

1115 W 5th St
Tempe, AZ 85281-2510
Phone: (480) 929-9909
Fax: (480) 804-0384
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 242334 (AZ)

Record details

NPI number1255052031
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCCM
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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