EDWARD E JR. CLARK (RN) – Psychiatric/Mental Health Registered Nurse, NPI 1710490800

EDWARD E JR. CLARK (RN) is a healthcare provider. based in Akron, Ohio. specializing in Psychiatric/Mental Health Registered Nurse. They hold the professional credentials RN. They hold a License No. RN.408106 (OH). The NPI Number for EDWARD E JR. CLARK (RN) is 1710490800

Main info

Male
Sole Proprietor
Name
EDWARD E JR. CLARK (RN)
NPI
1710490800
Phone
Not provided
Address
340 S BROADWAY ST
Enumeration Date
10 November 2017
Last Update Date
10 November 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for EDWARD E JR. CLARK (RN)

  • 340, South Broadway Street, Downtown, Cascade Valley, Akron, Summit County, Ohio, 44308, United States

    AKRON, OH 443081529

    Phone:

    Type: Mailing

  • 10, Penfield Avenue, Cascade Valley, Akron, Summit County, Ohio, 44310, United States

    AKRON, OH 443102912

    Phone: (330) 253-3100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44308)

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Reviews

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Frequently asked questions

What is the standard ID for EDWARD E JR. CLARK (RN) in the U.S.?
In the U.S., EDWARD E JR. CLARK (RN) is identified by NPI 1710490800.
Should I treat EDWARD E JR. CLARK (RN) as an active provider?
Patients and plans typically see EDWARD E JR. CLARK (RN) as active in the national extract.
What does the directory say EDWARD E JR. CLARK (RN) does?
Insurance directories may phrase it differently, but here EDWARD E JR. CLARK (RN) maps to Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Which community is linked to EDWARD E JR. CLARK (RN)?
EDWARD E JR. CLARK (RN) shows a connection to Akron, Ohio in registry-derived data.
Who maintains EDWARD E JR. CLARK (RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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