Organization Name: | JP CLARKE AND ASSOCIATES,LLC |
NPI Number: | 1104122480 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET M PASSLEY-CLARKE (CEO) |
Mailing Address: | 8828 Telegraph Road Suite A Odenton |
State: | MD US |
Postal Code: | 211131130 |
Phone Number: | 4438695791 |
Fax Number: | 4436460268 |
NPI Enumeration Date: | 02/02/2011 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |