Individual
JOHANNAH CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
2050 KENNY RD FL 10, COLUMBUS, OH 43221-3502
(614) 293-5066
(614) 293-9449
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.00513
OH
363LA2100X
Acute Care Nurse Practitioner
RX.00513
OH
363LA2200X
Adult Health Nurse Practitioner
RX.00513
OH
Other
Enumeration date
06/14/2007
Last updated
07/29/2024
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