MR. Timothy Jerum Clark, NP is a family nurse practitioner in Staten Island, NY. MR. Timothy Jerum Clark, NP NPI is 1518492008. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
246 HART AVE
STATEN ISLAND, NY
ZIP 10310-022
Phone: (347) 306-8981
The NPI 1518492008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/22/2017 and was last updated on 3/30/2021.