Clark, Crystal Joan

Clark, Crystal Joan is an individual health care provider with primary practice located at 11930 Arbor St Ste 200 , Omaha NE 68144-2998. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Crystal Joan can be contacted via phone (402) 697-1601.

Contact Information

Primary practice address
11930 Arbor St Ste 200 Omaha NE 68144-2998
Phone: (402) 697-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 111457 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 111457 Nebraska

Profile Details

NPI number 1417391160
LBN Legal business name Clark, Crystal Joan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Apr 24th, 2013 - about 12 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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