Shinika Clark, NP, PMHNP

Individual provider Rehabilitation Registered Nurse · NPI 1417679176

Shinika Clark, NP, PMHNP is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2022, 4 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying: 4
Licensed in: FL
In the registry since: 2022
Specialties on file: 2

What do these letters mean?

NP — Nurse Practitioner: An advanced practice nurse who can diagnose, treat and in most states prescribe.
PMHNP — Psychiatric-Mental Health Nurse Practitioner: A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1190 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Phone: (386) 206-8069
Fax: (386) 206-8069

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary)	Taxonomy 363LP0808X · Licence APRN11022123 (FL)
Rehabilitation Registered Nurse	Taxonomy 163WR0400X · Licence RN9392948 (FL)

Record details

NPI number	1417679176
Entity type	Individual (Type 1)
Gender	Female
Credentials	NP , PMHNP
Sole proprietor	No
NPI enumerated	September 19, 2022
Last updated in NPPES	September 10, 2024
Certification date	September 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2022 (4 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services