Clark, Joan Carmack

Clark, Joan Carmack is an individual health care provider with primary practice located at 2071 Herndon Ave , Clovis CA 93611-6101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Joan Carmack can be contacted via phone (559) 324-5556.

Contact Information

Primary practice address
2071 Herndon Ave Clovis CA 93611-6101
Fax: (559) 324-5571
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 466506 California

Profile Details

NPI number 1174696082
LBN Legal business name Clark, Joan Carmack
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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