SHAUNDEL SERITA CLARKE


Address: 13908 90th Ave, Jamaica, NY 11435-4128
Phone: 3479759658

SHAUNDEL SERITA CLARKE (NPI# 1619319803) 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) 1619319803
Entity Type Individual
Full Name SHAUNDEL SERITA CLARKE
Credential NP
Practice Address 13908 90th Ave
Jamaica
NY 11435-4128
Practice Telephone 3479759658
Enumeration Date 2013-07-29
Last Update Date 2013-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F306566-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13908 90TH AVE
City JAMAICA
State NY
Zip Code 11435-4128

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1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1871114892 Alternative Care Occupational Therapy, PC Occupational Therapist 149-16 Jamaica Ave, Jamaica, NY 11435 2020-04-30
1831737311 Aminat Adams Registered Nurse 10753 Remitown Street, Jamaica, NY 11435 2019-12-16
1376180349 Isabella Herold Dietitian, Registered 97-04 Sutphin Boulevard, Jamaica, NY 11435 2019-12-09
1235774654 Angela Rose Torriero Occupational Therapist 90-36 150th Street, Jamaica, Queens, NY 11435 2019-11-08
1396386009 Alexandra Mikyung Kim Registered Nurse 90-27 Sutphin Boulevard, Jamaica, NY 11435 2019-10-03
1043782097 Louis E Krigger Counselor Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 2018-12-31
1407326093 Syretta Henry Social Worker 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 2018-11-27
1972083277 Debra Witherspoon-benders Licensed Vocational Nurse Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 2018-08-16
1982182895 Emmanuel Oszwa Odigie Respite Care 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 2018-08-02
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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
1053929364 Sophia Brown-buchanan Nurse Practitioner 17447 129th Ave, Jamaica, NY 11434-5831 2020-07-22
1023635430 Jessica Obidimalor Nurse Practitioner 165-17 145th Road, Jamaica, NY 11434 2020-07-01
1063040038 Laura Alana Inabinett Nurse Practitioner 11432 128th St, Jamaica, NY 11420-2128 2020-03-27
1306330626 Angela Aronova Nurse Practitioner 8011 169th St, Jamaica, NY 11432-1329 2018-06-20
1740644137 Nermala Persaud Nurse Practitioner 14437 87th Rd, Jamaica, NY 11435-3123 2016-04-11
1598023582 Hea Rim Kwon Nurse Practitioner 8248 135th St Apt 2h, Jamaica, NY 11435-1429 2012-04-26
1023114352 Aliyamma Samuel Nurse Practitioner 82-68 164th St, Jamaica, NY 11432-1121 2006-09-15
1366444234 Jacqueline Irene De Leon Dy Nurse Practitioner 8449 168th St, Unit 6a, Jamaica, NY 11432-2048 2005-08-11
1538639448 Nermine Mounas Nurse Practitioner 8268 164th St, Jamaica, NY 11432-1121 2018-12-04
1023505955 Immacula Samson Nurse Practitioner 8268 164th St, Jamaica, NY 11432-1121 2018-04-17
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Competitor

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City JAMAICA
Zip Code 11435

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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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