Clark, Susan Marie

Clark, Susan Marie is an individual health care provider with primary practice located at 300 Treemonte Dr , Orange City FL 32763-7977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clark, Susan Marie can be contacted via phone (800) 614-4124.

Contact Information

Primary practice address
300 Treemonte Dr Orange City FL 32763-7977
Phone: (800) 614-4124
Fax: (888) 217-4124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11007813 Florida

Profile Details

NPI number 1376161950
LBN Legal business name Clark, Susan Marie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Feb 27th, 2024 - about 9 months 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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