Individual
TERRANCE ALAN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
CHP LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD, LEE, MA 01238
(413) 243-0536
(413) 243-8040
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2281720
MA
363LA2200X
Adult Health Nurse Practitioner
RN2281720
MA
363LP2300X
Primary Care Nurse Practitioner
RN2281720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103952A
—
MA
Enumeration date
08/05/2014
Last updated
06/15/2023
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