Clark, Alisa L.

Clark, Alisa L. is an individual health care provider with primary practice located at A.I. Dupont Hospital For Children 1600 Rockland Road, Wilmington DE 19803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clark, Alisa L. can be contacted via phone (302) 651-4000.

Contact Information

Primary practice address
A.I. Dupont Hospital For Children 1600 Rockland Road Wilmington DE 19803
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X L10024969 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 030126 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN308838L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X L10024969 Delaware

Profile Details

NPI number 1689765935
LBN Legal business name Clark, Alisa L.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 9th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689765935 NPPES
New Jersey MEDICAID 0043338
New Jersey MEDICAID 4058356
New Jersey MEDICAID 103045134

Popular Providers