JESSICA CLARKE NPI 1699137141

NPI Information

NPI: 1699137141
Provider Name: JESSICA CLARKE
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
132 CENTER AVE
BLACK MOUNTAIN, NC
ZIP 28711
Phone: (910) 417-7351
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Jessica Clarke is an assisted living facility in Black Mountain, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Jessica Clarke NPI is 1699137141. 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:

132 CENTER AVE
BLACK MOUNTAIN, NC
ZIP 28711-509
Phone: (910) 417-7351

The enumeration date for this NPI number is 3/23/2016 and was last updated on 10/20/2023.

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	310400000X	Assisted Living Facility		FCL-011	NORTH CAROLINA	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: 5/5/2024

NPI Synchronization or Removal

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