Doctor Name: | MARY CHRISTINE CLARKE |
NPI Number: | 1841635760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 1-113886 |
Business Practice Address: | 4770 Woodmere Blvd Ste B Montgomery, AL - 361063084 |
Business Phone Number: | 3342721050 |
Business Fax Number: | |
Mailing Address: | 7200 Old Forest Rd, MONTGOMERY |
State: | AL |
Postal Code: | 361173973 |
Phone Number: | 3342717181 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2013 |
NPI Last Update Date: | 07/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 1-113886 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |