Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORTIA CLARK
Active Sole ProprietorPORTIA CLARK is a Skilled Nursing Facility healthcare provider located in INDIANAPOLIS, Indiana. NPI 1326765447 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1326765447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2022 (3.7915774799328 yrs)
- Last Updated
- Oct 20, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1316 N TIBBS AVEINDIANAPOLIS, IN, 462223024Browse IN providers · Browse ZIP 46222
- Phone
- 3176348330
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| RABECCA HOWARD | — | 1568881480 |
| MRS. KAYSEE MAE ELLRICH | OTR | 1609267863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.