JULISA CLARK NPI 1215762661

NPI Information

  • NPI: 1215762661
  • Provider Name: JULISA CLARK
  • Classification: Doula - 374J00000X
  • Entity Type: Individual
  • Address: 2048 BROADWAY ST
    BLUE ISLAND, IL
    ZIP 60406
  • Phone: (773) 615-5493

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NPI Details

Julisa Clark is a doula in Blue Island, IL. The provider is doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. Julisa Clark NPI is 1215762661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2048 BROADWAY ST
BLUE ISLAND, IL
ZIP 60406-049
Phone: (773) 615-5493

The enumeration date for this NPI number is 9/5/2024 and was last updated on 9/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374J00000XDoula070524ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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