Clark, Jean A.

Clark, Jean A. is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. 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, Jean A. can be contacted via phone (603) 650-7390.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Phone: (603) 650-7390
Fax: (603) 650-6346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 013011-23 New Hampshire

Profile Details

NPI number 1518994078
LBN Legal business name Clark, Jean A.
Credentials RN, MS, CCRN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 29th, 2009 - about 17 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 1518994078 NPPES
New Hampshire MEDICAID 30340591
New Hampshire MEDICAID 0NP2131

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