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).
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 |
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 |
Street Address |
255 N WHITE RD STE 200B |
City | SAN JOSE |
State | CA |
Zip Code | 95127-1966 |
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 |
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 Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
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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.