Clark, Caroline Lee

Clark, Caroline Lee is an sole proprietor health care provider with primary practice located at 31 Heath St , Jamaica Plain MA 02130-1650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Caroline Lee can be contacted via phone (617) 523-6400.

Contact Information

Primary practice address
31 Heath St Jamaica Plain MA 02130-1650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2273680 Massachusetts

Profile Details

NPI number 1962771568
LBN Legal business name Clark, Caroline Lee
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2011
Last updated Jan 11th, 2017 - about 8 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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