Jeffrey Scott Clark in Johnson City - Nurse Anesthetist, Certified Registered
Jeffrey Scott Clark - NPI 1811103138
Jeffrey Scott Clark is a Nurse Anesthetist, Certified Registered in Johnson City, Tennessee. Jeffrey Scott Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jeffrey Scott Clark is 1811103138. The last update date is 2021-07-16.
Jeffrey Scott Clark's current location address is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4234316111. The mailing address for Jeffrey Scott Clark is 400 N State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Clark |
|---|---|
| Address | 400 N State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4234316111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1811103138 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2021-07-16 |
Provider Mailing Address Detail
| Address | 400 N State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046035 |
| Phone Number | 4234316111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 14744 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the Jeffrey Scott Clark's unique identification number?
The Jeffrey Scott Clark has been assigned the NPI (National Provider Identifier) Number 1811103138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jeffrey Scott Clark's physical address?
The Jeffrey Scott Clark is physically located at 400 N State Of Franklin Rd, in the city of Johnson City, TN, with the postal code 376046035.
What is Jeffrey Scott Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey Scott Clark is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811103138 to Jeffrey Scott Clark?
The Jeffrey Scott Clark received its 1811103138 assignment from the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date were the details pertaining to Jeffrey Scott Clark last refreshed?
The information related to the Jeffrey Scott Clark, including its address, specialty, and other relevant details, was last updated on 2021-07-16.
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