Jean A. Clark in Lebanon - Acute Care

Jean A. Clark - NPI 1518994078

Jean A. Clark is a Acute Care in Lebanon, New Hampshire. Jean A. Clark practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Jean A. Clark is 1518994078. The last update date is 2009-07-29.

Jean A. Clark's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036507390 and fax number 6036506346. The mailing address for Jean A. Clark is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean A. Clark
Address 1 Medical Center Dr, Lebanon, New Hampshire
Phone Number 6036507390
Fax Number 6036506346
Sole Proprietor N
Credentials RN, MS, CC

NPI Number Detail

NPI Number 1518994078
Provider Enumeration Date 2006-06-28
Last Updated Date 2009-07-29

Provider Mailing Address Detail

Address 1 Medical Center Dr
City Lebanon
State New Hampshire (NH)
Post Code 37561000
Phone Number 6036507390
Fax Number 6036506346

Provider's Primary Taxonomy Detail

Speciality Acute Care
Taxonomy 363La2100X
Licence No 013011-23
Definition:
An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30340591 NH --
0NP2131 VT --

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FAQs about Jean A. Clark

What is the unique 10-digit identification code assigned to Jean A. Clark by the Centers for Medicare & Medicaid Services?

The Jean A. Clark has been issued the NPI (National Provider Identifier) 1518994078, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jean A. Clark located?

The Jean A. Clark is located at 1 Medical Center Dr, Lebanon, NH 37561000.

What is the Jean A. Clark's specialty and taxonomy code?

The Jean A. Clark's specialty is Acute Care, and the corresponding taxonomy code is 363La2100X.

When did Jean A. Clark receive its 1518994078 assignment?

The Jean A. Clark was assigned its 1518994078 on 2006-06-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Jean A. Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jean A. Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-29.

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