Clark, Ericka

Clark, Ericka is an individual health care provider with primary practice located at 1600 Crain Hwy S Ste 301 , Glen Burnie MD 21061-6446. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Ericka can be contacted via phone (410) 787-8315.

Contact Information

Primary practice address
1600 Crain Hwy S Ste 301 Glen Burnie MD 21061-6446
Phone: (410) 787-8315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11017507 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC005986 Maryland

Profile Details

NPI number 1558842930
LBN Legal business name Clark, Ericka
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2018
Last updated Dec 1st, 2023 - about 3 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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