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Judith Cr Clark, NP
Nurse Practitioner in Farmington Hills, Michigan
NPI 1780682138

Judith Cr Clark is a Nurse Practitioner based in Ann Arbor, MI. Judith Cr Clark practices in Farmington Hills, MI and has the professional credentials of NP. The NPI Number for Judith Cr Clark is 1780682138 and holds a License No. 4704171391 (Michigan).

The current practice location address for Judith Cr Clark is 32605 W 12 Mile Rd Ste 195, Farmington Hills, MI and can be reached out via phone at 313-306-2023. You can also correspond with Judith Cr Clark through the mailing address at 3621 S STATE ST, ANN ARBOR, MI - 48108 (mailing address contact number: 734-936-2047).

Location: 32605 W 12 Mile Rd Ste 195, Farmington Hills, MI, 48108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780682138
Provider Name
Judith Cr Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
32605 W 12 Mile Rd Ste 195, Farmington Hills, MI, 48108
Phone Number
313-306-2023
Fax Number
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00365326 01 MI MEDICARE-RAILROAD
5008707110 01 MI BCBSM
4643072 05 MI
institution
Provider Business Practice Location Address Details
Address
32605 W 12 Mile Rd Ste 195
City
Farmington Hills
State
Michigan
Zip
48334-3390
Phone Number
313-306-2023
Fax Number
person
Provider Business Mailing Address Details
Address
3621 S State St
City
Ann Arbor
State
Michigan
Zip
48108
Phone Number
734-936-2047
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704171391 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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