Vontisha Shavron Clark
Driver · Williston, ND
Practice location
3315 2ND Ave E Apt 102Williston, ND 58801-2815
- Phone
- (701) 651-6625
- Fax
- (701) 651-6625
NPI record
- NPI
- 1972490258
- Entity type
- Individual (Type 1)
- Enumeration date
- June 19, 2025
- Last updated
- June 19, 2025
- Certified
- June 18, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
CLA806348 | ND |
About Vontisha Clark
Vontisha Shavron Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 3315 2ND Ave E Apt 102, Williston, ND 58801-2815. The NPI number 1972490258 was assigned on June 19, 2025 and the record was last updated on June 19, 2025.
Vontisha Clark lists a license in the registry: #CLA806348 (ND) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Vontisha Shavron Clark?
The NPI number is 1972490258.
What is the phone number of Vontisha Clark?
The phone number listed for the practice location is (701) 651-6625.
Where is Vontisha Clark located?
3315 2ND Ave E Apt 102, Williston, ND 58801-2815.
What is the taxonomy code for Vontisha Clark?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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