Benjamin S Clark in Rogersville - Nurse Practitioner
Benjamin S Clark - NPI 1497708572
Benjamin S Clark is a Nurse Practitioner in Rogersville, Tennessee. Benjamin S Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Benjamin S Clark is 1497708572. The last update date is 2008-07-13.
Benjamin S Clark's current location address is Po Box 850, Rogersville, Tennessee. You can contact this provider via phone number 4237332131 and fax number 4237331055. The mailing address for Benjamin S Clark is Po Box 850, Rogersville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Benjamin S Clark |
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Address | Po Box 850, Rogersville, Tennessee |
Phone Number | 4237332131 |
Fax Number | 4237331055 |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1497708572 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2008-07-13 |
Provider Mailing Address Detail
Address | Po Box 850 |
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City | Rogersville |
State | Tennessee (TN) |
Post Code | 378570850 |
Phone Number | 4237332131 |
Fax Number | 4237331055 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 12038 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3643301 | TN | -- | |
4126469 | TN | BCBS |
Post Comment/ Review Below
What is the Benjamin S Clark's 1497708572?
The Benjamin S Clark's NPI (National Provider Identifier) Number is 1497708572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Benjamin S Clark is physically located?
The Benjamin S Clark is physically situated at the following address: Po Box 850, Rogersville, TN, 378570850.
What is Benjamin S Clark's area of expertise and its corresponding taxonomy classification?
The Benjamin S Clark's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1497708572 assigned to Benjamin S Clark?
The Benjamin S Clark was issued its 1497708572 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Benjamin S Clark last refreshed?
The information related to the Benjamin S Clark, including its address, specialty, and other relevant details, was last updated on 2008-07-13.