MRS. ROSE M CLARK (NPI# 1821271008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821271008 |
Entity Type | Individual |
Full Name | MRS. ROSE M CLARK |
Other Name | MS. ROSE CLARK |
Credential | NP |
Practice Address |
489 Washington Ave Clarksburg WV 26301-2825 |
Practice Telephone | 3046222708 |
Practice Fax Number | 3046239302 |
Mailing Telephone | 3046222708 |
Mailing Fax Number | 3046239302 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2010-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
24387 | WV | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972158848 | Rose Clark | Registered Nurse | 886 School Dr, North Baldwin, NY 11510-1123 | 2019-08-07 |
1801278684 | Rose Clark | Pharmacist | 6785 Transit Rd, East Amherst, NY 14051-1303 | 2015-06-29 |
1346386695 | Rose Clark | Social Worker | 108 N Main St, Suite 500, South Bend, IN 46601 | 2007-01-30 |
Street Address |
489 WASHINGTON AVE |
City | CLARKSBURG |
State | WV |
Zip Code | 26301-2825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102277 | Shannon Miller Ullman | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2020-07-31 |
1568723179 | Health Access Inc | Pharmacy | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2012-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
Find all providers in zip 26301 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
1881080521 | Rochelle Popovich | Nurse Practitioner | 600 18th St Ste 311, Parkersburg, WV 26101-3235 | 2015-04-09 |
1457769523 | Morgan Leigh Adams | Nurse Practitioner | 36 White Rock Dr, Hurricane, WV 25526-9621 | 2014-08-01 |
1992873251 | Georgia L Narsavage | Nurse Practitioner | Health Science Center South 6700, Wvu Son Nursing Faculty Practice, Morgantown, WV 26506-9600 | 2006-12-02 |
1013009570 | Eleanor K Berg | Nurse Practitioner | Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 | 2006-09-29 |
1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
1326036419 | Christine La Porte Palank | Nurse Practitioner | Shepherd Univ Student Health Services, E King St, Shepherdstown, WV 25443-1032 | 2005-10-12 |
1326043365 | Michael Shawn Stockman | Nurse Practitioner | 440 Koonce Rd, Harpers Ferry, WV 25425-3126 | 2005-06-16 |
1700486008 | Randi Dawnielle Davis | Nurse Practitioner | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2020-10-27 |
1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
Find all providers with the same taxonomy |
City | CLARKSBURG |
Zip Code | 26301 |
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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.