Individual provider · Type 1 NPI

Judith CR Clark, NP

Nurse Practitioner · Farmington Hills, MI

NPI number 1780682138 Active

Practice location

32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390

Call (313) 306-2023 Map

Mailing address

3621 S State St, 700 Kms Place
Ann Arbor, MI 48108

Other practice locations

375 Briarwood Cir, Ann Arbor, MI 48108-1605 · (734) 998-7207

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4704171391 (MI)

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 1780682138

Judith CR Clark, NP's National Provider Identifier is 1780682138, issued on Jul 11, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Jun 20, 2022.