Individual provider · Type 1 NPI

Mary Clancy, PA

Nurse Practitioner · Jamaica, NY

NPI number 1013068964 Active

Practice location

8900 Van Wyck Expy, Jhmc Er
Jamaica, NY 11418-2897

Mailing address

80 Marcus Dr
Melville, NY 11747-4230

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF300249 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013068964

Mary Clancy, PA's National Provider Identifier is 1013068964, issued on Jan 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.