Clarke, Mary Kimberly

Clarke, Mary Kimberly is an individual health care provider with primary practice located at 500 Carolina Meadows , Chapel Hill NC 27517-8471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clarke, Mary Kimberly can be contacted via phone (919) 370-7102.

Contact Information

Primary practice address
500 Carolina Meadows Chapel Hill NC 27517-8471
Phone: (919) 370-7102
Fax: (919) 942-0377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0900036 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 900035 North Carolina

Profile Details

NPI number 1801913801
LBN Legal business name Clarke, Mary Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated May 1st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801913801 NPPES
North Carolina Other 2592857A MEDICARE PIN PTAN
North Carolina Other 811995 MEDICARE PIN PTAN
North Carolina Other 561380014G MEDICARE PIN PTAN

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