JANELL LANICE CLARK CRNP NPI 1598082059

NPI Information

  • NPI: 1598082059
  • Provider Name: JANELL LANICE CLARK, CRNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1738 W CHELTENHAM AVE
    PHILADELPHIA, PA
    ZIP 19126
  • Phone: (215) 548-3390

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NPI Details

Janell Lanice Clark, CRNP is an adult health nurse practitioner in Philadelphia, PA with 16 years of experience. Janell Lanice Clark, CRNP NPI is 1598082059. 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:

1738 W CHELTENHAM AVE
PHILADELPHIA, PA
ZIP 19126-546
Phone: (215) 548-3390
Fax: (215) 549-8998

The NPI 1598082059 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 4/23/2010 and was last updated on 10/13/2020.

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
1363L00000XNurse PractitionerSP010694PENNSYLVANIANo
2363LA2200XNurse PractitionerAdult HealthSP010694PENNSYLVANIAYes

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

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