JP CLARKE AND ASSOCIATES,LLC


Address: 8828 Telegraph Road, Suite A, Odenton, MD 21113-1130
Phone: 4438695791

JP CLARKE AND ASSOCIATES,LLC (NPI# 1104122480) 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) 1104122480
Entity Type Organization
Organization Name JP CLARKE AND ASSOCIATES,LLC
Practice Address 8828 Telegraph Road
Suite A
Odenton
MD 21113-1130
Mailing Address 1011 Harlem Ave
Baltimore
MD 21217-2429
Practice Telephone 4438695791
Practice Fax Number 4436460268
Mailing Telephone 4438695791
Mailing Fax Number 4436460628
Enumeration Date 2011-02-02
Last Update Date 2015-04-03
Authorized Official Name MRS. JANET M PASSLEY-CLARKE (CEO)
Authorized Official Telephone 4438695791
Authorized Official Credential CRNP-PMH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8828 TELEGRAPH ROAD
SUITE A
City ODENTON
State MD
Zip Code 21113-1130

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1508351024 Atina Lorene Sullivan Nurse Practitioner 1202 Annapolis Rd, Odenton, MD 21113-1397 2018-06-27

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Competitor

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City ODENTON
Zip Code 21113

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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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