Individual
MS. BERNICE L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
132 GROVE ST, HADDONFIELD, NJ 08033-1224
(856) 354-2211
(856) 354-6181
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN09214200
NJ
363LF0000X
Family Nurse Practitioner
SP007726
PA
Other
Enumeration date
08/19/2005
Last updated
04/08/2016
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