Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONYE PATRICE CLARK
Active Sole ProprietorEBONYE PATRICE CLARK is a Peer Specialist healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1962998062 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1962998062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2018 (8.0922469912301 yrs)
- Last Updated
- Jul 2, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1704 CENTER DR APT 2MIDWEST CITY, OK, 731102869Browse OK providers · Browse ZIP 73110
- Phone
- 4056797979
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in MIDWEST CITY, OK
| Name | Credential | NPI |
|---|---|---|
| MR. THEODIS ROOSEVELT MANNING | B.S. ENGINEERING | 1225316706 |
| STEPHEN H LUTZ | — | 1548780232 |
| KRISTEN HUNTLEY | — | 1538672498 |
| CANTRELL EUGENE WATTS | — | 1750899100 |
| MISTY RENEA LOWDER | — | 1457819211 |
| AVIANCE BROWN | — | 1083275796 |
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.