Individual
MRS. JANETTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-AC
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2405
Mailing address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2405
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R164718
MD
Other
Enumeration date
06/05/2008
Last updated
11/04/2016
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