Individual
DONNA CELENE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14410 SOMMERVILLE CT STE 101, MIDLOTHIAN, VA 23113-6813
(804) 897-9355
Mailing address
14410 SOMMERVILLE CT STE 101, MIDLOTHIAN, VA 23113-6813
(804) 897-9355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001176285
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024188361
VA
Other
Enumeration date
09/24/2007
Last updated
02/19/2024
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