Individual provider · Type 1 NPI

Janette H. Clark, RN

Registered Nurse · Syracuse, NY

NPI number 1619005824 Active

Practice location

800 S Wilbur Ave
Syracuse, NY 13204-2732

Fax (315) 476-7446

Mailing address

2792 Basin St
Weedsport, NY 13166-9746

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X3685401 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619005824

Janette H. Clark, RN's National Provider Identifier is 1619005824, issued on Mar 1, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.