Clarkson, Amy Keiller
Clarkson, Amy Keiller is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200, Austin TX 78723-3077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clarkson, Amy Keiller can be contacted via phone (512) 628-1850.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Ste 200
Austin TX 78723-3077
Phone: (512) 628-1850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP129024 | Texas |
Profile Details
| NPI number | 1780040931 |
|---|---|
| LBN Legal business name | Clarkson, Amy Keiller |
| Credentials | CPNP-AC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2016 |
| Last updated | Nov 5th, 2020 - about 4 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 | 1780040931 | NPPES |
| Texas | MEDICAID | 359678501 | |
| Texas | MEDICAID | 359678502 |
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