MS. MARY ANGELYN JOVES CLARK


Address: 255 N White Rd Ste 200b, San Jose, CA 95127-1966
Phone: 4085037600

MS. MARY ANGELYN JOVES CLARK (NPI# 1053887455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053887455
Entity Type Individual
Full Name MS. MARY ANGELYN JOVES CLARK
Credential MSN, APRN
Practice Address 255 N White Rd Ste 200b
San Jose
CA 95127-1966
Practice Telephone 4085037600
Mailing Telephone 4085037600
Enumeration Date 2018-10-23
Last Update Date 2020-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95068012 CA Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
NP95009579 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
NP95009579 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 255 N WHITE RD STE 200B
City SAN JOSE
State CA
Zip Code 95127-1966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710259361 Erin Kathleen Alicia O'hair Nurse Practitioner 255 N White Rd Ste 200b, San Jose, CA 95127 2012-01-29
1144610122 Oi Shan Wong Nurse Practitioner 255 N White Rd Ste 200b, San Jose, CA 95127-1966 2015-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225635162 Veronica Isabel Foggie Massage Therapist 3570 Ct, San Jose, CA 95127 2020-10-05
1235605528 Melissa Ann Morgan Case Manager/Care Coordinator 428 N. White Rd., San Jose, CA 95127 2018-10-15
1386126621 Alum Rock Counseling Center Community/Behavioral Health 14281 Story Road, San Jose, CA 95127 2018-09-04
1407359383 Erin Rodriguez Behavior Technician 1593 Amesbury Way, San Jose, CA 95127 2018-03-16
1407209919 Binita Dorce Counselor 14820 Mcvay Avenue, San Jose, CA 95127 2016-07-20
1851766448 Lynn H Trieu Pharmacist 3200 Kawalker Ln, San Jose, CA 95127 2015-12-08
1184099723 Royal Plus Home Care, Inc In Home Supportive Care 302-f Toyon Ave. #182, San Jose, CA 95127 2015-12-08
1710363916 Chan Pham Acupuncturist 10048 Bethel Ave, San Jose, CA 95127 2015-08-11
1639574320 Jesus I Yanez Dentist 100 South White Road Suite 210, San Jose, CA 95127 2014-10-24
1285051110 Vinh Quang Tran Pharmacist 3478 Neves Way, San Jose, CA 95127 2014-03-28
Find all providers in zip 95127

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881050425 Shairstin Fierro Nurse Practitioner 5012 Jarvis Ave, San Jose, CA 95118-2428 2016-01-12
1710259361 Erin Kathleen Alicia O'hair Nurse Practitioner 255 N White Rd Ste 200b, San Jose, CA 95127 2012-01-29
1275927204 Mary Tang Chiang Nurse Practitioner 299 Stockton Ave, San Jose, CA 95126 2015-03-27
1790178317 Stephen Kenneth Boniface Nurse Practitioner 393 Blossom Hill Rd, Suite 390b, San Jose, CA 95123-1652 2015-03-05
1144610122 Oi Shan Wong Nurse Practitioner 255 N White Rd Ste 200b, San Jose, CA 95127-1966 2015-01-29
1962691725 Martha Payne Nurse Practitioner 55 E Julian St, San Jose, CA 95112-4007 2007-10-17
1295952711 Nancy Marie Nuzzolillo Nurse Practitioner 1 Washington Sq, San Jose, CA 95192-0037 2007-04-18
1801915962 Patricia Ann Latour Nurse Practitioner 1 Washington Sq, San Jose, CA 95192-0037 2007-03-28
1669585501 Joan Leslie Moschella Nurse Practitioner 1691 The Alameda, San Jose, CA 95126-2203 2006-08-16
1679686554 Lauren Tang Lym Nurse Practitioner 1691 The Alameda, San Jose, CA 95126-2203 2006-08-16
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95127

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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