Individual provider · Type 1 NPI

Janell Lanice Clark, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1598082059 Active

Practice location

1738 W Cheltenham Ave
Philadelphia, PA 19126-1546

Fax (215) 549-8998

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XSP010694 (PA)
Adult Health Nurse Practitioner Primary 363LA2200XSP010694 (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1598082059

Janell Lanice Clark, CRNP's National Provider Identifier is 1598082059, issued on Apr 23, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 13, 2020.