Clark, Kristin Marie Jerome
Clark, Kristin Marie Jerome is an sole proprietor health care provider with primary practice located at 14010 Smoketown Rd Ste 117 , Woodbridge VA 22192-4704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Kristin Marie Jerome can be contacted via phone (718) 920-6656.Contact Information
Primary practice address
14010 Smoketown Rd Ste 117
Woodbridge VA 22192-4704
Phone: (718) 920-6656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110003441 | Virginia |
Profile Details
| NPI number | 1528291069 |
|---|---|
| LBN Legal business name | Clark, Kristin Marie Jerome |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2009 |
| Last updated | Apr 6th, 2016 - 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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