Individual provider · Type 1 NPI
Joshua Clark
Family Nurse Practitioner · Boston, MA
NPI number
1902265143
Active
Practice location
300 Longwood Ave, Fagan 3 General Surgery
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN2279414 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902265143
Joshua Clark's National Provider Identifier is 1902265143, issued on Feb 16, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Feb 16, 2016.