Mr. Timothy Jerum Clark, NP
Mr. Timothy Jerum Clark, NP is a Family Nurse Practitioner in Staten Island, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2017.
- Licensed in
- NY, PA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
246 Hart AveStaten Island, NY 10310-3022
Phone: (347) 306-8981
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence SP017303 (PA) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 341667 (NY) |
Record details
| NPI number | 1518492008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | April 22, 2017 |
| Last updated in NPPES | March 30, 2021 |
| Certification date | March 30, 2021 |
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