Joan Marie Clark in Saint Louis - Adult Health
Joan Marie Clark - NPI 1710969498
Joan Marie Clark is a Adult Health in Saint Louis, Missouri. Joan Marie Clark practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Joan Marie Clark is 1710969498. The last update date is 2020-10-20.
Joan Marie Clark's current location address is 6400 Clayton Rd Ste 302, Saint Louis, Missouri. You can contact this provider via phone number 3146453370 and fax number 3146450576. The mailing address for Joan Marie Clark is 6400 Clayton Rd Ste 302, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Marie Clark |
|---|---|
| Address | 6400 Clayton Rd Ste 302, Saint Louis, Missouri |
| Phone Number | 3146453370 |
| Fax Number | 3146450576 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1710969498 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
| Address | 6400 Clayton Rd Ste 302 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631171850 |
| Phone Number | 3146453370 |
| Fax Number | 3146450576 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 2816742621 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60065 | MO | EXCLUSIVE CHOICE | |
| 213137 | MO | BLUE CHOICE | |
| 500005275 | MO | RAILROAD MEDICARE | |
| 428933303 | MO | -- | |
| 72280 | PROVIDER NUMBER | ||
| 534842 | MO | HEALTHLINK |
Post Comment/ Review Below
What is the Joan Marie Clark's 1710969498?
The Joan Marie Clark's NPI (National Provider Identifier) Number is 1710969498. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joan Marie Clark located?
The Joan Marie Clark is located at 6400 Clayton Rd Ste 302, Saint Louis, MO 631171850.
What is the Joan Marie Clark's specialty and taxonomy code?
The Joan Marie Clark's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did Joan Marie Clark receive its 1710969498 assignment from the Centers for Medicare & Medicaid Services?
The Joan Marie Clark was assigned its 1710969498 on 2005-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Joan Marie Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joan Marie Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-20.