DR. JULIANA JACKSON CLARK


Address: 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678
Phone: 9197865001

DR. JULIANA JACKSON CLARK (NPI# 1982675344) 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) 1982675344
Entity Type Individual
Full Name DR. JULIANA JACKSON CLARK
Credential M.D.
Practice Address 2406 Blue Ridge Rd
Suite 100
Raleigh
NC 27607-6678
Practice Telephone 9197865001
Practice Fax Number 9197865051
Mailing Telephone 9197865001
Mailing Fax Number 9197865051
Enumeration Date 2006-02-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
200300622 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BLUECROSSBLUESHIELD 138NX 01
NC 89138NX 05

Other Providers JULIANA CLARK

NPI Name Taxonomy Address Enumeration
1306114897 Juliana M Clark Occupational Therapy Assistant 1066 Old State Rd N, Norwalk, OH 44857-9372 2011-12-12
1487101648 Juliana Clark Peer Specialist 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3019 2016-09-06
1538587613 Juliana R Clark Nurse Practitioner 1201 7th St Se, Decatur, AL 35601-3337 2014-04-04

Office Location

Street Address 2406 BLUE RIDGE RD
SUITE 100
City RALEIGH
State NC
Zip Code 27607-6678

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649260043 Lori Moore Langdon Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2005-10-26
1386209633 Wakemed Specialists Group LLC Clinic/Center 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 2019-05-02
1730656638 Kushal Khimji Pharmacist 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 2018-10-29
1225446800 Courtney Yerxa Genetic Counselor, MS 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 2014-07-28
1265848154 Wake Specialty Physicians, LLC Durable Medical Equipment & Medical Supplies 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 2014-07-11
1801207543 Melinda Lee Beavers Pediatrics 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 2014-05-15
1942625991 Jamie Harding Physician Assistant 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2014-02-27
1427493071 Alison Lee Vurnakes Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2013-05-08
1154663482 Alyssa Ann Jenkins Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2013-03-25
1225372246 Duke University Affiliated Physicians, Inc Obstetrics & Gynecology 2406 Blue Ridge Rd, Suite 250, Raleigh, NC 27607-6678 2012-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740622166 Sunshine Pediatric and Adolescent Care Pediatrics 1631 Midtown Pl Ste 107, Raleigh, NC 27609-1300 2013-07-26
1134265721 Daniel Elmer Brown Pediatrics 2412 Ridge Rd, Raleigh, NC 27612-4759 2007-01-30
1023077211 Faith Pediatrics and Adolescent Medicine Inc. Pediatrics 3350 Six Forks Rd, Raleigh, NC 27609-7233 2006-03-17
1477524999 Mary Beth Ogle Helton Pediatrics 2605 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6678 2006-02-01
1265868806 Easter Seals Ucp North Carolina & Virginia Pediatrics 314 Chapanoke Rd, Raleigh, NC 27603-3400 2013-09-14
1174888093 Lyndsay Isil Weyers Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2012-07-06
1619286291 Mari L. Emmet Pediatrics 2605 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6475 2010-09-30
1386861268 Maria Premilla Alexander Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2007-04-20
1346313475 Peter Joseph Morris Pediatrics 220 Swinburne Rd, Raleigh, NC 27610-1834 2006-11-16
1962466631 Jeffers Mann & Artman Pediatric & Adolesent Medicine Pa Pediatrics 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 2006-04-12
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Competitor

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City RALEIGH
Zip Code 27607

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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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