Clark, Chimere L

Clark, Chimere L is an individual health care provider with primary practice located at 825 Fairfax Ave , Norfolk VA 23507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Clark, Chimere L can be contacted via phone (757) 446-7900.

Contact Information

Primary practice address
825 Fairfax Ave Norfolk VA 23507
Phone: (757) 446-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0017141498 Virginia

Profile Details

NPI number 1245656958
LBN Legal business name Clark, Chimere L
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2014
Last updated Apr 25th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245656958 NPPES
Virginia Other 10129497N OPTIMA HEALTH
Virginia Other PAR OPTIMA HEALTH
Virginia Other PAR OPTIMA HEALTH
Virginia Other -010 OPTIMA HEALTH
Virginia Other 1245656958 OPTIMA HEALTH
Virginia MEDICAID 1245656958 OPTIMA HEALTH
Virginia Other PAR OPTIMA HEALTH
Virginia MEDICAID 1245656958 OPTIMA HEALTH

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