# JANET M PASSLEY-CLARKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225082373
- **Gender:** F
- **Credential:** CRNP-PHM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | SP009505 | PA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R140364 | MD | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 04/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1032912630001 | — | PA |