Holly A Clark in Orland Park - Nurse Practitioner
Holly A Clark - NPI 1205823093
Holly A Clark is a Nurse Practitioner in Orland Park, Illinois. Holly A Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Holly A Clark is 1205823093. The last update date is 2021-02-23.
Holly A Clark's current location address is 14315 108th Ave, Orland Park, Illinois. You can contact this provider via phone number 8153007764 and fax number 7083858780. The mailing address for Holly A Clark is 14315 108th Ave, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly A Clark |
|---|---|
| Address | 14315 108th Ave, Orland Park, Illinois |
| Phone Number | 8153007764 |
| Fax Number | 7083858780 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1205823093 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
| Address | 14315 108th Ave |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604675700 |
| Phone Number | 8153007764 |
| Fax Number | 7083858780 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 309-001914 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identifier code issued to Holly A Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Holly A Clark has been assigned the NPI (National Provider Identifier) 1205823093. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Holly A Clark is physically located?
The Holly A Clark is physically situated at the following address: 14315 108Th Ave, Orland Park, IL, 604675700.
What is the Holly A Clark's area of specialization and corresponding taxonomy classification?
The Holly A Clark's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Holly A Clark's 1205823093 issued?
The Holly A Clark's 1205823093 was issued on 2005-10-05.
As of what date were the details pertaining to Holly A Clark last refreshed?
The information related to the Holly A Clark, including its address, specialty, and other relevant details, was last updated on 2021-02-23.
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