MS. JACQUELINE MARIE CLARK


Address: 700 19th St S, Birmingham, AL 35233-1927
Phone: 2059338101

MS. JACQUELINE MARIE CLARK (NPI# 1013255611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013255611
Entity Type Individual
Full Name MS. JACQUELINE MARIE CLARK
Credential RN
Practice Address 700 19th St S
Birmingham
AL 35233-1927
Mailing Address 1709 1st Ct W
Birmingham
AL 35208-5201
Practice Telephone 2059338101
Practice Fax Number 2055584783
Mailing Telephone 2059338101
Mailing Fax Number 2055584783
Enumeration Date 2013-01-17
Last Update Date 2013-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 1-051962 AL Nursing Service Providers

Other Providers JACQUELINE CLARK

NPI Name Taxonomy Address Enumeration
1720594955 Jacqueline Clark Behavior Technician 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 2017-12-26
1336552629 Jacqueline Clark Specialist/Technologist 550 Huntington Ave, Boston, MA 02115-5901 2014-06-04
1497015762 Jacqueline Clark Counselor 923 Powell Ave Sw, Suite 100, Renton, WA 98057-2941 2012-05-21
1407008287 Jacqueline Ruth Clark Licensed Practical Nurse 26308 Crocker Rd, Columbia Station, OH 44028-9301 2008-10-13
1902424161 Jacqueline E Clark Advanced Practice Midwife 1021 Nebraska St, Sioux City, IA 51105-1436 2020-07-13
1205456795 Jacqueline Clark Behavior Technician 182 El Dorado St, Monterey, CA 93940-3118 2020-04-24
1982175493 Jacqueline Clark Occupational Therapist 888 Terrace St, Muskegon, MI 49440-1220 2018-12-10
1194244749 Jacqueline Ann Clark Counselor 811 Madison St, Everett, WA 98203-4543 2017-09-14
1215452958 Jacqueline Clark Physical Therapist 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 2017-08-03
1245578343 Jacqueline Anne Clark Counselor 2845 Bell St, Zanesville, OH 43701-1720 2013-01-24

Office Location

Street Address 700 19TH ST S
City BIRMINGHAM
State AL
Zip Code 35233-1927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336139179 Christoph C Zenker Podiatrist 700 19th St S, Birmingham, AL 35233-1927 2005-10-24
1669079752 Latosha Croft Allen Social Worker 700 19th St S, Birmingham, AL 35233-1927 2020-10-02
1902403173 Sarah Diane Pritchett Social Worker 700 19th St S, Birmingham, AL 35233-1927 2020-10-01
1275140642 Allen Looney Specialist/Technologist, Other 700 19th St S, Birmingham, AL 35233-1927 2020-09-29
1831705029 Joseph Daniel Doolin Counselor 700 19th St S, Birmingham, AL 35233-1927 2020-09-22
1689280539 Tarae Brunette Hornsby Social Worker 700 19th St S, Birmingham, AL 35233-1927 2020-09-16
1386259497 Ashley Marie Brown Registered Nurse 700 19th St S, Birmingham, AL 35233-1927 2020-09-15
1124632229 Kelli Rue Social Worker 700 19th St S, Birmingham, AL 35233-1927 2020-09-04
1699389387 Toni Wills Social Worker 700 19th St S, Birmingham, AL 35233-1927 2020-09-01
1881207272 Helen Faith Randle Nurse's Aide 700 19th St S, Birmingham, AL 35233-1927 2020-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821605700 Motivity Chiropractic Chiropractor 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 2020-09-25
1477164580 Rebecca Diane Davis Physician Assistant 701 S. 19th St, Lhr 112, Birmingham, AL 35233 2020-08-12
1972136794 Faleh Ali Alshanhrani Student in an Organized Health Care Education/Training Program Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 2020-02-20
1972149128 Jessica Lynne Miller Registered Nurse 1816 6th Ave South, Birmingham, AL 35233 2019-11-22
1881156404 Chalandra Barley Registered Nurse 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 2019-04-02
1255893004 Mia Weitman Neustein Registered Nurse Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 2019-04-02
1457813214 Tabrisha Love Registered Nurse Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 2019-04-02
1356809602 Catherine Mary Verga Occupational Therapist 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 2019-03-06
1649736752 Proton International Alabama, LLC Clinic/Center 400 20th Street South, Birmingham, AL 35233 2019-02-13
1447728910 Eric Jackson Specialist/Technologist 1219 6th Ave S, Birmingham, AL 35233 2018-11-02
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588278303 Shequita Lasha Givan Registered Nurse 507 Shoal Run Trl, Birmingham, AL 35242-2607 2020-08-31
1417568676 Shane Renee Blackwell Miller Registered Nurse 933 Garrett Dr, Birmingham, AL 35235-1420 2020-08-12
1992321780 Terreka Oden Registered Nurse 984 Dugan Ave, Birmingham, AL 35214-4645 2020-06-17
1306467485 Kayla D Reinicke Registered Nurse 615 18th St S Fl Tbicu9, Birmingham, AL 35233-1826 2020-04-30
1801416458 Hannah Burgess Registered Nurse 114 Hollywood Blvd, Birmingham, AL 35209-2036 2020-04-23
1730709767 Sarah Yi Registered Nurse 3632 Clairmont Ave S Apt 4, Birmingham, AL 35222-3509 2020-04-20
1679193734 Cedrickas S Barnes Registered Nurse 1616 41st Street Ensley, Birmingham, AL 35208-2504 2020-04-19
1356977557 Pooja Sharma Registered Nurse 218 Summit Pkwy Ste 250, Birmingham, AL 35209-4732 2020-03-19
1851927339 Miriam Kiboi Registered Nurse 1720 6th Ave South, Birmingham, AL 35294-0001 2020-03-17
1972149128 Jessica Lynne Miller Registered Nurse 1816 6th Ave South, Birmingham, AL 35233 2019-11-22
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Competitor

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City BIRMINGHAM
Zip Code 35233

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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