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Contact Information

JANE E CLARK, RNCS
675 TOWER AVE
SUITE 301
HARTFORD, CT06112-1273
 Phone: 860-714-2750
 Fax: 860-714-8591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JANE E CLARK · (Female)

NPI Number 1639262579
Status Active
Credentials RNCS
Entity Individual
Enumeration date 10/02/2006
Last updated 12/11/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001952
  • CT License # 1952
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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