Individual provider · Type 1 NPI

D'juana Lasha Clark, APN-C

Women's Health Nurse Practitioner · New Brunswick, NJ

NPI number 1770775959 Active

Practice location

123 How Ln
New Brunswick, NJ 08901-3653

Call (732) 745-8600 Map

Fax (732) 828-8929

Mailing address

15 Congress Ln
South River, NJ 08882-2580

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X26NJ00135800 (NJ)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1770775959

D'juana Lasha Clark, APN-C's National Provider Identifier is 1770775959, issued on Aug 13, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in New Brunswick, NJ. The record was last updated on Jan 17, 2019.