JOHANNA THERESA CLARK ARNP NPI 1750942892

NPI Information

NPI: 1750942892
Provider Name: JOHANNA THERESA CLARK, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: STATE UNIVERSITY OF IOWA

PECOS Registration: Yes

Address:
3640 MIDDLEBURY RD
IOWA CITY, IA
ZIP 52245
Phone: (319) 467-6789
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Johanna Theresa Clark, ARNP is a family nurse practitioner in Iowa City, IA with 5 years of experience. Johanna Theresa Clark, ARNP NPI is 1750942892. 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:

3640 MIDDLEBURY RD
IOWA CITY, IA
ZIP 52245-712
Phone: (319) 467-6789
Fax: (319) 467-7400

The NPI 1750942892 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 6/27/2019 and was last updated on 9/6/2019.

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
1	363L00000X	Nurse Practitioner		A154199	IOWA	No
2	363LF0000X	Nurse Practitioner	Family	A154199	IOWA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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