Turner Clarke, Mikaila Ann
Turner Clarke, Mikaila Ann is an individual health care provider with primary practice located at 100 Grove St Ste 115 , Worcester MA 01605-2630. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Turner Clarke, Mikaila Ann can be contacted via phone (833) 904-0620.Contact Information
Primary practice address
100 Grove St Ste 115
Worcester MA 01605-2630
Phone: (833) 904-0620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5553 | Massachusetts |
Nursing Service Providers / Registered Nurse | 163W00000X | RN2275336 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN2275336 | Massachusetts |
Profile Details
NPI number | 1740336882 |
---|---|
LBN Legal business name | Turner Clarke, Mikaila Ann |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | May 17th, 2023 - about last year |
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 | 1740336882 | NPPES |
Massachusetts | MEDICAID | 1302604 | |
Massachusetts | Other | 1301071 |
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