MRS. JANETTE CLARK (NPI# 1962661900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962661900 |
| Entity Type | Individual |
| Full Name | MRS. JANETTE CLARK |
| Credential | CRNP-AC |
| Practice Address |
10102 Country Club Rd Se Cumberland MD 21502-8339 |
| Practice Telephone | 3017772405 |
| Mailing Telephone | 3017772405 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R164718 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619005824 | Janette H Clark | Registered Nurse | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-01 |
| Street Address |
10102 COUNTRY CLUB RD SE |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-8339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275106 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2005-09-13 |
| 1609475201 | Tara Lynne Garner-delzell | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-10-23 |
| 1629689245 | Mikali Rain Artice | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-08-17 |
| 1881203115 | Jennifer Hart | Licensed Practical Nurse | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-07-22 |
| 1255965802 | Carly Ann Mccormick | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-02-22 |
| 1487290102 | Ashley Jean Elliott | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2019-11-19 |
| 1396393229 | Tina Mills | Registered Nurse | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2019-09-04 |
| 1427607365 | Donnie Painter | Registered Nurse | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2019-09-04 |
| 1609433853 | James Painter | Registered Nurse | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2019-05-23 |
| 1801372339 | Deann Mccloud | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346618394 | Clarissa Michalak | Nurse Practitioner | 31 Shady Run Ln, Cumberland, ME 04021-3818 | 2015-09-08 |
| 1215578273 | Brianna Roach | Nurse Practitioner | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2019-10-01 |
| 1417024795 | Dianne Jean Schrock | Nurse Practitioner | 952 Seton Dr, Cumberland, MD 21502-1950 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on MRS. JANETTE CLARK.
| 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.