MRS. SHELLEY J CLARKE (NPI# 1386282051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386282051 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY J CLARKE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4985 Pelican St Coconut Creek FL 33073-2424 |
| Practice Telephone | 9544789204 |
| Mailing Telephone | 9544789204 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11004165 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4985 PELICAN ST |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582038 | Shanna Kay Johnson | Nurse Practitioner | 6107 Grand Cypress Cir E, Coconut Creek, FL 33073-2342 | 2020-09-11 |
| 1447864558 | Rhiannon Dimarzo | Nurse Practitioner | 5930 Nw 40th Ln, Coconut Creek, FL 33073-4052 | 2020-09-04 |
| 1568002921 | Jessica Helen Collado | Nurse Practitioner | 2766 Carambola Cir S, Coconut Creek, FL 33066-2300 | 2020-01-13 |
| 1629615422 | Annmarie R Rinato | Nurse Practitioner | 3782 Nw 23rd Mnr, Coconut Creek, FL 33066-2268 | 2019-11-30 |
| 1043854177 | Jacqueline Dixon | Nurse Practitioner | 4160 Nw 62nd Ct, Coconut Creek, FL 33073-2047 | 2019-10-31 |
| 1144876202 | Arlene Swaby Reid | Nurse Practitioner | 5434 Nw 43rd Way, Coconut Creek, FL 33073-5026 | 2019-08-14 |
| 1255821138 | Minuteclinic | Nurse Practitioner | 6182 N State Road 7 Apt 303, Coconut Creek, FL 33073-3660 | 2018-05-16 |
| 1154827384 | Carline Jean-philippe | Nurse Practitioner | 1801 Lyons Rd Apt 207, Coconut Creek, FL 33063-9280 | 2018-04-05 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1417905621 | Lucy Marina Trovato | Nurse Practitioner | 4855 W Hillsboro Blvd Ste B13, Coconut Creek, FL 33073-4365 | 2006-05-04 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
Please comment or provide details below to improve the information on MRS. SHELLEY J CLARKE.
| 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.