Clark, Jane Elizabeth
Clark, Jane Elizabeth is an individual health care provider with primary practice located at 675 Tower Ave Suite 301, Hartford CT 06112-1273. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Jane Elizabeth can be contacted via phone (860) 714-2750.Contact Information
Primary practice address
675 Tower Ave Suite 301
Hartford CT 06112-1273
Phone: (860) 714-2750
Fax: (860) 714-8591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 001952 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1952 | Connecticut |
Profile Details
NPI number | 1639262579 |
---|---|
LBN Legal business name | Clark, Jane Elizabeth |
Credentials | RNCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Dec 11th, 2015 - about 9 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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