Individual
CHRISTINA SIMONE CLARK
Active
Individual
CHRISTINA SIMONE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP10073
OH
364SA2100X
Acute Care Clinical Nurse Specialist
RN314321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2957715
—
OH
Enumeration date
08/29/2008
Last updated
07/23/2015
Update your record
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