MRS. ROSE M CLARK


Address: 489 Washington Ave, Clarksburg, WV 26301-2825
Phone: 3046222708

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).

Provider Overview

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

Taxonomy

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

Other Providers ROSE CLARK

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

Office Location

Street Address 489 WASHINGTON AVE
City CLARKSBURG
State WV
Zip Code 26301-2825

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CLARKSBURG
Zip Code 26301

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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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