Ms. Bernice L Clark, CRNP
Nurse Practitioner, Family in Haddonfield, New Jersey
1174515795- Practice location
- 132 Grove St, Haddonfield, NJ 08033-1224
- Phone
- 856-354-2211
- Fax
- 856-354-6181
- Last updated
- April 8, 2016
Bernice L Clark is a Nurse Practitioner, Family based in Haddonfield, NJ. Bernice L Clark practices in Haddonfield, NJ and has the professional credentials of CRNP. The NPI Number for Bernice L Clark is 1174515795 and holds a License No. 26NN09214200 (NJ). The current practice location address for Bernice L Clark is 132 Grove St, Haddonfield, NJ 08033-1224 and can be reached out via phone at 856-354-2211 and via fax at 856-354-6181.
Provider Profile Details
- NPI Number
- 1174515795
- Provider Name
- Bernice L Clark
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 132 Grove St, Haddonfield, NJ 08033-1224
- Phone Number
- 856-354-2211
- Fax Number
- 856-354-6181
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2005
- Last Update Date
- April 8, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 132 Grove St
Haddonfield, NJ 08033-1224 - City
- Haddonfield
- State
- New Jersey
- Zip
- 08033-1224
- Phone Number
- 856-354-2211
- Fax Number
- 856-354-6181
Provider Business Mailing Address Details
- Address
- 402 Lippincott Dr
Marlton, NJ 08053-4112 - City
- Marlton
- State
- NJ
- Zip
- 08053-4112
- Phone Number
- 856-782-3300
- Fax Number
- 856-504-8029
License Information
- License Number (1)
- 26NN09214200
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- SP007726
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Haddonfield, NJ
View all Nurse Practitioner, Family providers in Haddonfield →Frequently Asked Questions
What is the NPI number of Ms. Bernice L Clark, CRNP?
The NPI number of Ms. Bernice L Clark, CRNP is 1174515795. It was assigned on August 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Ms. Bernice L Clark, CRNP?
Ms. Bernice L Clark, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NN09214200.
Where does Ms. Bernice L Clark, CRNP practice?
The practice location is 132 Grove St, Haddonfield, NJ 08033-1224. The office can be reached at 856-354-2211 (phone) or 856-354-6181 (fax).
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 1174515795 directly on the NPPES registry website.