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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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