Clark, Brenda Jill
Clark, Brenda Jill is an sole proprietor health care provider with primary practice located at 2312 Ridgeway Ave , Oskaloosa IA 52577-9109. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Clark, Brenda Jill can be contacted via phone (515) 720-9903.Contact Information
Primary practice address
2312 Ridgeway Ave
Oskaloosa IA 52577-9109
Phone: (515) 720-9903
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A-106433 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | A106433 | Iowa |
Profile Details
NPI number | 1629373881 |
---|---|
LBN Legal business name | Clark, Brenda Jill |
Credentials | ARNP FAMILY NURSE PR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2011 |
Last updated | Jun 22nd, 2015 - about 10 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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