IndividualActive
Lyreva Clark, RNFNP-C
NPI 1548246747 · Family Nurse Practitioner · Hannibal, MO
Provider details
- NPI number
- 1548246747
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNFNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2003005715 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 551
Hannibal, MO 63401-0551
Additional practice locations (2)
- 3650 Stardust DrHannibal, MO 63401-2411Phone: (573) 231-0660
- 400 S Center StShelbina, MO 63468-1404Phone: (573) 588-4131Fax: (573) 588-4876
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.