Individual
JANELLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3948 WINWICK WAY, VIRGINIA BEACH, VA 23456-1571
(757) 630-6269
Mailing address
3948 WINWICK WAY, VIRGINIA BEACH, VA 23456-1571
(757) 630-6269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024175705
—
VA
Enumeration date
12/18/2017
Last updated
12/18/2017
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