Clark, Christina Simone

Clark, Christina Simone is an individual health care provider with primary practice located at 1001 Lakeside Ave E Suite 1000, Cleveland OH 44114-1158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Clark, Christina Simone can be contacted via phone (216) 217-3451.

Contact Information

Primary practice address
1001 Lakeside Ave E Suite 1000 Cleveland OH 44114-1158
Phone: (216) 217-3451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP10073 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X RN314321 Ohio

Profile Details

NPI number 1174771471
LBN Legal business name Clark, Christina Simone
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Jul 23rd, 2015 - about 11 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 1174771471 NPPES
Ohio MEDICAID 2957715

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