Blankenship Clark, Ann Elizabeth

Blankenship Clark, Ann Elizabeth is an individual health care provider with primary practice located at 1031 W Williams St , Apex NC 27502-3955. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blankenship Clark, Ann Elizabeth can be contacted via phone (919) 363-0190.

Contact Information

Primary practice address
1031 W Williams St Apex NC 27502-3955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L003116 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03932 North Carolina

Profile Details

NPI number 1538405154
LBN Legal business name Blankenship Clark, Ann Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2012
Last updated Dec 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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