Clancy, Marla Jo
Clancy, Marla Jo is an individual health care provider with primary practice located at 4041 Taylor Rd Ste G , Chesapeake VA 23321-5525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clancy, Marla Jo can be contacted via phone (757) 483-6404.Contact Information
Primary practice address
4041 Taylor Rd Ste G
Chesapeake VA 23321-5525
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0024180099 | Virginia |
Profile Details
| NPI number | 1023623436 |
|---|---|
| LBN Legal business name | Clancy, Marla Jo |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2020 |
| Last updated | Nov 7th, 2021 - 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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