Active NPIIndividual provider

Ms. Jean A Clark, RN, MS, CCRN, APRN

Nurse Practitioner, Acute Care in Lebanon, New Hampshire

NPI Number1518994078
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
603-650-6346
Last updated
July 29, 2009

Jean A. Clark is a Nurse Practitioner, Acute Care based in Lebanon, NH. Jean A. Clark practices in Lebanon, NH and has the professional credentials of RN, MS, CCRN, APRN. The NPI Number for Jean A. Clark is 1518994078 and holds a License No. 013011-23 (NH). The current practice location address for Jean A. Clark is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-7390 and via fax at 603-650-6346.

Provider Profile Details

NPI Number
1518994078
Provider Name
Jean A. Clark
Credential
RN, MS, CCRN, APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-650-7390
Fax Number
603-650-6346
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2006
Last Update Date
July 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-7390
Fax Number
603-650-6346
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-650-7390
Fax Number
603-650-6346

License Information

License Number
013011-23
License State
NH
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Jean A Clark, RN, MS, CCRN, APRN?

The NPI number of Ms. Jean A Clark, RN, MS, CCRN, APRN is 1518994078. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jean A Clark, RN, MS, CCRN, APRN?

Ms. Jean A Clark, RN, MS, CCRN, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in NH under license number 013011-23.

Where does Ms. Jean A Clark, RN, MS, CCRN, APRN practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-7390 (phone) or 603-650-6346 (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 1518994078 directly on the NPPES registry website.

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