Individual
MISS MARCIA ELAINE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-5437
Mailing address
219 E 121ST ST, NEW YORK, NY 10035-3018
(212) 987-5175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382119
NY
Other
Enumeration date
11/02/2010
Last updated
08/21/2022
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