Clark, Rachel Leah

Clark, Rachel Leah is an individual health care provider with primary practice located at 369 Deer Run Rd , Palm Bay FL 32909-1125. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Rachel Leah can be contacted via phone (386) 451-6703.

Contact Information

Primary practice address
369 Deer Run Rd Palm Bay FL 32909-1125
Phone: (386) 451-6703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9235916 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07230175 Florida

Profile Details

NPI number 1629855036
LBN Legal business name Clark, Rachel Leah
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about last year

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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