Edwards, Clarence Jep

Edwards, Clarence Jep is an individual health care provider with primary practice located at 916 Koala Dr , Omak WA 98841-9759. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Edwards, Clarence Jep can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
916 Koala Dr Omak WA 98841-9759
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N31979 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NURRNLIC38969 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP667A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006781 Washington

Profile Details

NPI number 1053307710
LBN Legal business name Edwards, Clarence Jep
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 31st, 2019 - about 5 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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