Illise Clark, FNP-NP

  • Mentor, OH
  • Family nurse practitioner
NPI1396004776
Affiliated sites
1
Medical groups
2
State license
1
Year NPI issued
2012
Practice locations
2
Practice address
12380 Plaza Dr, Parma, OH 44130
Practice phone
Call (216) 898-8399
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Longevity Clinical Ltc Associates Of Ohio

NP / PA-led clinic · Parma, Ohio

See all 3 affiliations

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Illise Clark is a family nurse practitioner in Mentor, Ohio

Illise Clark practices at Longevity Clinical Ltc Associates Of Ohio in Parma, Ohio.

Illise Clark's NPI, 1396004776, was assigned on May 7, 2012. Illise Clark holds Ohio license APRN.CNP.0022454.

NPI and contact details
NPI enumeration date
May 7, 2012
NPI status
Active
Practice phone
(216) 898-8399
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Illise Clark practices in Parma and Mentor

Illise Clark's primary practice is Longevity Clinical Ltc Associates of Ohio, at 12380 Plaza Dr, Parma, OH 44130. The practice phone is (216) 898-8399. The NPI Registry lists Illise Clark's practice address as 8881 Schaeffer St, Mentor, OH 44060.

  • Longevity Clinical Ltc Associates of OhioPrimary
    12380 Plaza Dr, Parma, OH 44130Phone(216) 898-8399
  • NPI Registry address
    8881 Schaeffer St, Mentor, OH 44060Phone(440) 255-9309

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Illise Clark is affiliated with 1 site of care and 2 medical groups

Illise Clark's primary practice is Longevity Clinical Ltc Associates Of Ohio in Parma, Ohio. The medical group on file is UH Geauga Medical Center. Dmand AI also links Illise Clark to 1 more medical group, named with a free account.

Longevity Clinical Ltc Associates Of OhioNP / PA-led clinic · Parma, OhioPrimary
UH Geauga Medical CenterOb/gyn and women's health group, Chardon, OH1 medical groupName with a free account
See all 3 affiliations for Illise Clark

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Illise Clark's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Illise Clark practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Longevity Clinical Ltc Associates Of OhioAvailable with a free account
+1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Illise Clark is one of 7,779 family nurse practitioners in Ohio

Family is Illise Clark's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Illise Clark is licensed in Ohio.

Specialties and state licenses

  • Family nurse practitioner, OhioPrimaryLicense RN.371331 · taxonomy 363LF0000X

Family nurse practitioners near Illise Clark

Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Illise Clark's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Illise Clark

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Illise Clark's NPI number?

Illise Clark's NPI number is 1396004776. It was assigned on May 7, 2012, and it is active in the NPI Registry.

What does Illise Clark specialize in?

Illise Clark is a family nurse practitioner in Mentor, Ohio. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).

Where does Illise Clark practice?

Illise Clark practices at 12380 Plaza Dr, Parma, OH 44130. Illise Clark also practices at 8881 Schaeffer St, Mentor, OH 44060. Illise Clark's primary practice is Longevity Clinical Ltc Associates Of Ohio in Parma, Ohio. Dmand AI also links Illise Clark to 1 medical group.

What is Illise Clark's office phone number?

The practice phone on file for Illise Clark is (216) 898-8399.

What is Illise Clark's medical license number?

Illise Clark holds Ohio license APRN.CNP.0022454.

What medical group is Illise Clark part of?

Illise Clark is linked to UH Geauga Medical Center. Dmand AI links Illise Clark to 1 more medical group.

How long has Illise Clark been practicing?

Illise Clark's NPI was assigned in 2012.

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