Dr SHELLEY LYNN CLARK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
ST VINCENT MEDICAL GROUP INC
8333 NAAB RD
SUITE 400
INDIANAPOLIS
IN
462601992
Tel: 3173386666
| Npi | 1093158925 |
| Pac Id | 0840431003 |
| Professional Enrollment Id | I20130730000950 |
| Last Name | CLARK |
| First Name | SHELLEY |
| Middle Name | LYNN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Group Practice Pac Id | 7012047640 |
| Number Of Group Practice Members | 705 |
| Line 1 Street Address | 8333 NAAB RD |
| Line 2 Street Address | SUITE 400 |
| Marker Of Address Line 2 Suppression | |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 462601992 |
| Phone Number | 3173386666 |
| Hospital Affiliation Ccn 1 | 151303 |
| Hospital Affiliation Lbn 1 | ST VINCENT JENNINGS HOSPITAL INC |
| Hospital Affiliation Ccn 2 | 150065 |
| Hospital Affiliation Lbn 2 | SCHNECK MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 150112 |
| Hospital Affiliation Lbn 3 | COLUMBUS REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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