Clark, Jean A.
Clark, Jean A. is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Clark, Jean A. can be contacted via phone (603) 650-7390.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-7390
Fax: (603) 650-6346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 013011-23 | New Hampshire |
Profile Details
NPI number | 1518994078 |
---|---|
LBN Legal business name | Clark, Jean A. |
Credentials | RN, MS, CCRN, APRN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Jul 29th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518994078 | NPPES |
New Hampshire | MEDICAID | 30340591 | |
New Hampshire | MEDICAID | 0NP2131 |
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