Clarke, Janelise S

Clarke, Janelise S is an individual health care provider with primary practice located at 14355 Miranda Way , Los Altos Hills CA 94022-2032. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Clarke, Janelise S can be contacted via phone (650) 546-7775.

Contact Information

Primary practice address
14355 Miranda Way Los Altos Hills CA 94022-2032
Phone: (650) 546-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NUR-APRN-LIC-125338 Montana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP661A Idaho

Profile Details

NPI number 1275602633
LBN Legal business name Clarke, Janelise S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 7th, 2024 - about 2 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 1275602633 NPPES
Idaho Other 000010160650 REGENCE
Idaho MEDICAID 806937600 REGENCE
Idaho Other P00393459 REGENCE
Idaho Other 300936 REGENCE

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