Julianne Alyssa Clark, ARNP - Nurse Practitioner in Shawnee, OK

Julianne Alyssa Clark, ARNP is a Nurse Practitioner - Pediatrics based in Shawnee, Oklahoma. Julianne Alyssa Clark is licensed to practice in Oklahoma (license number 61442) and her current practice location is 3315 Kethley Rd, Shawnee, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 273-5801.

NPI number for Julianne Alyssa Clark is 1417253170 and her current mailing address is Po Box 849, Shawnee, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417253170.

Contact Information

Julianne Alyssa Clark, ARNP
3315 Kethley Rd,
Shawnee, OK 74804-9638
(405) 273-5801
(405) 878-3814

Map and Direction




Provider's Profile

Full NameJulianne Alyssa Clark
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3315 Kethley Rd, Shawnee, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417253170
  • Provider Enumeration Date: 01/28/2011
  • Last Update Date: 08/29/2012

Medical Identifiers

Medical identifiers for Julianne Alyssa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417253170NPI-NPPES
61442OtherOKOK LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 61442 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Julianne Alyssa Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Julianne Alyssa Clark, ARNP
Po Box 849,
Shawnee, OK 74802-0849

Ph: (405) 273-5801
Julianne Alyssa Clark, ARNP
3315 Kethley Rd,
Shawnee, OK 74804-9638

Ph: (405) 273-5801

Reviews and Comments


Nurse Practitioner Nurses in Shawnee, OK

Dustin Wade,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    
Mrs. Sabrina R Lafrance, CNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30 Redbud Ln, Shawnee, OK 74801
Phone: 509-554-9250    
Dr. Magdalyn Boegler, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804
Phone: 405-214-1700    
Jessica Michele Collett, APRN, FNP-C, SANE-A
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 632 N Broadway Ave, Shawnee, OK 74801
Phone: 405-768-4904    Fax: 405-768-4934
Susan George,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    Fax: 405-701-7631
Cindy Cheatwood, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    Fax: 405-585-2859
Bonnie Nadaene Grude,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5903 Gabriel, Shawnee, OK 74804
Phone: 918-470-0324    

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