Clark, Julie Lynn

Clark, Julie Lynn is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. 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, Julie Lynn can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.18055 Ohio

Profile Details

NPI number 1518336098
LBN Legal business name Clark, Julie Lynn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Jan 20th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518336098 NPPES
West Virginia MEDICAID 1518336098
West Virginia MEDICAID 0150253

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