Individual provider · NPI-1

Amelia Doe Clarke, FNP

Nurse Practitioner, Family · Smyrna, DE

NPI number1316338031
StatusActive
Last updated in NPPESMar 23, 2024

Details

NPI
1316338031
Entity type
Individual (NPI-1)
Name
Amelia Doe Clarke
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2015
Certification date
Mar 23, 2024
Last updated
Mar 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyLG-0012707DEYes

Practice location

1181 Paddock Rd
Smyrna, DE 19977-9679

Phone 302-653-9561

Mailing address

1181 Paddock Rd
Smyrna, DE 19977-9679

Phone 302-653-9561

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