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Individual
JANET CARSON CLARK
Active
Individual
JANET CARSON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60617031
WA
363LN0000X
Neonatal Nurse Practitioner
Primary
AP60617031
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP60617031
WA
363LP2300X
Primary Care Nurse Practitioner
AP60617031
WA
Other
Enumeration date
08/12/2014
Last updated
09/06/2024
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