JEFFREY JOSEPH CLARK (NPI# 1255671723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255671723 |
| Entity Type | Individual |
| Full Name | JEFFREY JOSEPH CLARK |
| Credential | RN |
| Practice Address |
43740 N Groesbeck Hwy Clinton Township MI 48036-1139 |
| Practice Telephone | 5864697629 |
| Mailing Telephone | 5864697629 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704247791 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1134535248 | Jeffrey Clark | Hearing Instrument Specialist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2014-07-09 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| Street Address |
43740 N GROESBECK HWY |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255651 | Alison Nicole Karasienski | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2020-08-11 |
| 1841786068 | Donald Alan Young | Case Manager/Care Coordinator | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2018-07-11 |
| 1275069866 | Amanda Foster | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2017-05-03 |
| 1639614381 | Maria Alderman | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2017-01-04 |
| 1043755218 | Macomb County Community Mental Health Services | Case Management | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2016-12-27 |
| 1487109088 | Andrew Fortunato | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2016-08-24 |
| 1609245539 | Cori Starr | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2015-09-22 |
| 1841681087 | Christina Marie Williams | Case Manager/Care Coordinator | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2015-02-10 |
| 1649661844 | Daniel Dekorse | Social Worker | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2015-02-09 |
| 1164763900 | Audra J Nichols | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2013-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861543928 | John Alfred Gregson | Registered Nurse | 44174 Rivergate Dr, Clinton Township, MI 48038-1368 | 2007-01-16 |
| 1649767823 | Laurie Ann Pocius | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2018-04-13 |
| 1346542982 | Zita Wise | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2010-12-02 |
| 1679897409 | Suzanne Walker | Registered Nurse | 44899 Centre Ct, Suite 102, Clinton Township, MI 48038-5510 | 2010-03-23 |
| 1508049180 | Beatrice Joan Rusie | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2007-12-06 |
| 1083825459 | Lisa L Vanhaverbeck | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2007-05-25 |
| 1306052188 | Mary Josephine-fresard Hollebrands | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2007-05-16 |
| 1104032945 | Karen Ann Coulier | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2007-05-16 |
| 1922214758 | Kathryn Rose Butkus | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2007-05-16 |
| 1831305663 | Christine Marie Roberts | Registered Nurse | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2007-05-16 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on JEFFREY JOSEPH CLARK.
| 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.