| Doctor Name: | MR. JACQUELINE ELIZABETH FEARON-CLARKE |
| NPI Number: | 1023219292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | NR74702 |
| Business Practice Address: | 95 Madison Ave Suite 411 Morristown, NJ - 079606092 |
| Business Phone Number: | 9739714179 |
| Business Fax Number: | 9732907905 |
| Mailing Address: | 95 Madison Ave, Suite 411 MORRISTOWN |
| State: | NJ |
| Postal Code: | 079606092 |
| Phone Number: | 9739714179 |
| Fax Number: | 9732907905 |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 09/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | NR74702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |