Active NPIIndividual providerSole proprietor

Caroline L Clark, ANP

Nurse Practitioner, Psych/Mental Health in Jamaica Plain, Massachusetts

NPI Number1962771568
Practice location
31 Heath St, Jamaica Plain, MA 02130-1650
Fax
—
Last updated
January 11, 2017

Caroline Lee Clark is a Nurse Practitioner, Psych/Mental Health based in Jamaica Plain, MA. Caroline Lee Clark practices in Jamaica Plain, MA and has the professional credentials of ANP. The NPI Number for Caroline Lee Clark is 1962771568 and holds a License No. RN2273680 (MA). The current practice location address for Caroline Lee Clark is 31 Heath St, Jamaica Plain, MA 02130-1650 and can be reached out via phone at 617-523-6400.

Provider Profile Details

NPI Number
1962771568
Provider Name
Caroline Lee Clark
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
31 Heath St, Jamaica Plain, MA 02130-1650
Phone Number
617-523-6400
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2011
Last Update Date
January 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Heath St
Jamaica Plain, MA 02130-1650
Zip
02130-1650
Phone Number
617-523-6400
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
4 Rindge Ter
Cambridge, MA 02140-1826
City
Cambridge
State
MA
Zip
02140-1826
Phone Number
617-460-5394

License Information

License Number
RN2273680
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Psych/Mental Health providers near Jamaica Plain, MA

View all Nurse Practitioner, Psych/Mental Health providers in Jamaica Plain →

Frequently Asked Questions

What is the NPI number of Caroline L Clark, ANP?

The NPI number of Caroline L Clark, ANP is 1962771568. It was assigned on December 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Caroline L Clark, ANP?

Caroline L Clark, ANP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2273680.

Where does Caroline L Clark, ANP practice?

The practice location is 31 Heath St, Jamaica Plain, MA 02130-1650. The office can be reached at 617-523-6400 (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 1962771568 directly on the NPPES registry website.

Browse related providers