Individual
JANET M PASSLEY-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PHM
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4734
(717) 782-4727
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009505
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R140364
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032912630001
—
PA
Enumeration date
05/22/2006
Last updated
04/13/2021
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