Tiffany M Clark in Independence - Nurse Practitioner
Tiffany M Clark - NPI 1972617124
Tiffany M Clark is a Nurse Practitioner in Independence, Ohio. Tiffany M Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tiffany M Clark is 1972617124. The last update date is 2008-01-29.
Tiffany M Clark's current location address is 6000 W Creek Rd, Independence, Ohio. You can contact this provider via phone number 8002232273. The mailing address for Tiffany M Clark is 6000 W Creek Rd, Independence, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany M Clark |
|---|---|
| Address | 6000 W Creek Rd, Independence, Ohio |
| Phone Number | 8002232273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1972617124 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | 6000 W Creek Rd |
|---|---|
| City | Independence |
| State | Ohio (OH) |
| Post Code | 441312139 |
| Phone Number | 8002232273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN277210 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2583066 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tiffany M Clark?
The Tiffany M Clark has been issued the NPI (National Provider Identifier) 1972617124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tiffany M Clark's facilities are geographically located?
The facilities of Tiffany M Clark are physically situated at the following location: 6000 W Creek Rd, Independence, OH, 441312139.
What is Tiffany M Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tiffany M Clark's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did Tiffany M Clark receive its 1972617124 assignment from the Centers for Medicare & Medicaid Services?
The Tiffany M Clark was assigned its 1972617124 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tiffany M Clark's details last updated?
The information pertaining to the Tiffany M Clark, including its address, specialty, and other details, was most recently updated on 2008-01-29.