Breanna Faith Clark, MSN, FPMHNP
NPI #1962088559 in Independence, Missouri
Provider Information
- NPI Number
- 1962088559
- Entity Type
- Individual
- Name
- Breanna Faith Clark, MSN, FPMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- MSN, FPMHNP
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 17844 E 23RD ST S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-1840
- Phone
- (816) 254-3652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse |
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