Individual
JAMIE LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(248) 937-3307
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-0002
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704117611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104621585
—
MI
01
—
JC117611
BLUE CROSS OF MI
MI
Enumeration date
01/19/2006
Last updated
08/13/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us