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

Whitney Nicole Clark, CNM

Individual provider Advanced Practice Midwife · NPI 1033605431

Whitney Nicole Clark, CNM is a Certified Nurse Midwife (CNM) in Saint Marys, Ohio. Qualified in 2018, 8 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

1140 S Knoxville Ave Ste B
Saint Marys, OH 45885-2609
Phone: (419) 394-7314
Fax: (419) 394-7313
Show map & directions

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

Additional practice locations (1)

  • 801 Pro Dr Ste D3, Celina, OH 45822-3307 — (419) 394-7314

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence APRN.CNM.019373 (OH)

Record details

NPI number1033605431
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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