Jennifer Grace Clarke in Pawtucket - Internal Medicine
Jennifer Grace Clarke - NPI 1578644746
Jennifer Grace Clarke is a Internal Medicine in Pawtucket, Rhode Island. Jennifer Grace Clarke practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jennifer Grace Clarke is 1578644746. The last update date is 2011-09-12.
Jennifer Grace Clarke's current location address is 111 Brewster Street, Pawtucket, Rhode Island. You can contact this provider via phone number 4017293481 and fax number 4017293866. The mailing address for Jennifer Grace Clarke is 111 Brewster Street, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Grace Clarke |
---|---|
Address | 111 Brewster Street, Pawtucket, Rhode Island |
Phone Number | 4017293481 |
Fax Number | 4017293866 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1578644746 |
---|---|
Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
Address | 111 Brewster Street |
---|---|
City | Pawtucket |
State | Rhode Island (RI) |
Post Code | 2860 |
Phone Number | 4017293481 |
Fax Number | 4017293866 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
---|---|
Taxonomy | 207R00000X |
Licence No | MD09743 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7058942 | RI | -- | |
110087867A | MA | -- | |
70589421 | RI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Grace Clarke by the Centers for Medicare & Medicaid Services?
The Jennifer Grace Clarke has been issued the NPI (National Provider Identifier) 1578644746 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jennifer Grace Clarke's facilities are geographically located?
The facilities of Jennifer Grace Clarke are physically situated at the following location: 111 Brewster Street, Pawtucket, RI, 2860.
What is the area of specialization for Jennifer Grace Clarke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Grace Clarke is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578644746 to Jennifer Grace Clarke?
The Centers for Medicare & Medicaid Services originally issued the 1578644746 to Jennifer Grace Clarke on 2006-10-17.
As of what date were the details pertaining to Jennifer Grace Clarke last refreshed?
The information related to the Jennifer Grace Clarke, including its address, specialty, and other relevant details, was last updated on 2011-09-12.