Individual
MS. RACHEL TERESA CLARK
Active
Individual
MS. RACHEL TERESA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, AG-ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01083700
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
26NJ01083700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759490
—
NJ
Enumeration date
12/04/2020
Last updated
08/06/2026
Update your record
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