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Individual
DR. DESSYE-DEE M CLARK
Active
Individual
DR. DESSYE-DEE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PHD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
283297
CA
163W00000X
Registered Nurse
RN00094578
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
30002196
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-99982
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN29998
MT
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
AP30002196
WA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
RN29998
MT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
AP30002196
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
RN29998
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004304872
—
MT
01
—
29998
APRN
MT
01
—
30002196
ARNP
WA
Enumeration date
07/31/2006
Last updated
03/18/2021
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