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

Vontisha Shavron Clark

Individual provider Driver · NPI 1972490258

Vontisha Shavron Clark is a Driver in Williston, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2025

Practice location Address checks out

3315 2nd Ave E Apt 102
Williston, ND 58801-2815
Phone: (701) 651-6625
Fax: (701) 651-6625
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence CLA806348 (ND)

Record details

NPI number1972490258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 18, 2025

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