Individual provider · Type 1 NPI

Chevaughn Clarke

Student in an Organized Health Care Education/Training Program · Nottingham, MD

NPI number 1851010904 Active

Practice location

5022 Campbell Blvd Ste L-M
Nottingham, MD 21236-4969

Call (443) 442-1568 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851010904

Chevaughn Clarke's National Provider Identifier is 1851010904, issued on Aug 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nottingham, MD. The record was last updated on Mar 23, 2023.