Serita R Wilson-Clarke
Registered Nurse in Boston, Massachusetts
1104584192- Practice location
- 398 Neponset Ave, Boston, MA 02122-3134
- Phone
- 617-323-2800
- Fax
- —
- Last updated
- December 7, 2021
Serita Renee Wilson-Clarke is a Registered Nurse based in Boston, MA. Serita Renee Wilson-Clarke practices in Boston, MA. The NPI Number for Serita Renee Wilson-Clarke is 1104584192 and holds a License No. rn2359781 (MA). The current practice location address for Serita Renee Wilson-Clarke is 398 Neponset Ave, Boston, MA 02122-3134 and can be reached out via phone at 617-323-2800.
Provider Profile Details
- NPI Number
- 1104584192
- Provider Name
- Serita Renee Wilson-Clarke
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 398 Neponset Ave, Boston, MA 02122-3134
- Phone Number
- 617-323-2800
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 7, 2021
- Last Update Date
- December 7, 2021
- Certification Date
- December 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 398 Neponset Ave
Boston, MA 02122-3134 - City
- Boston
- State
- Massachusetts
- Zip
- 02122-3134
- Phone Number
- 617-323-2800
Provider Business Mailing Address Details
- Address
- 1 Popes Hill St
Boston, MA 02122-3310 - City
- Boston
- State
- MA
- Zip
- 02122-3310
- Phone Number
- 617-733-0556
License Information
- License Number
- rn2359781
- License State
- MA
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Serita R Wilson-Clarke?
The NPI number of Serita R Wilson-Clarke is 1104584192. It was assigned on December 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Serita R Wilson-Clarke?
Serita R Wilson-Clarke is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number rn2359781.
Where does Serita R Wilson-Clarke practice?
The practice location is 398 Neponset Ave, Boston, MA 02122-3134. The office can be reached at 617-323-2800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104584192 directly on the NPPES registry website.