Clark, Tamara Delavigne

Clark, Tamara Delavigne is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Clark, Tamara Delavigne can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN274268 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X NP-09601 Ohio

Profile Details

NPI number 1730377326
LBN Legal business name Clark, Tamara Delavigne
Credentials MS, RN, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 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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