Clark, Amy Jo
Clark, Amy Jo is an individual health care provider with primary practice located at 1621 N Taylor Dr Ste 100 , Sheboygan WI 53081-1993. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Amy Jo can be contacted via phone (920) 452-1650.Contact Information
Primary practice address
1621 N Taylor Dr Ste 100
Sheboygan WI 53081-1993
Phone: (920) 452-1650
Fax: (920) 452-3594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 161099-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7806-33 | Wisconsin |
Profile Details
| NPI number | 1265969356 |
|---|---|
| LBN Legal business name | Clark, Amy Jo |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2017 |
| Last updated | Dec 30th, 2021 - about 5 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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