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JEANETTE CRISTINE CLARK RN
NPI 1225861016
Registered Nurse - General Practice in Farmingdale, NY

Active since August 26, 2024
24 ROBERTS ST, FARMINGDALE, NY 11735(516) 293-0051 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeanette Cristine Clark Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE CRISTINE CLARK RN (NPI 1225861016) is an individual general practice provider in Farmingdale, New York, licensed in New York (861777-01) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1225861016
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameJEANETTE CRISTINE CLARKCredential: RN
Location Address24 ROBERTS STFarmingdale, NY 11735-5042
Mailing Address750 Shore Rd Apt 5cLong Beach, NY 11561-4735 · (732) 887-7093
Phone(516) 293-0051
Sole ProprietorNo
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1225861016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in NY · 861777-01
24 ROBERTS ST, Farmingdale, NY 11735
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HANNAH MORAWSKI RN
Registered Nurse
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
CHELSEA MARIE MORRISON
Registered Nurse (Pediatrics)
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 582-3212
MRS. CYNTHIA JEAN GEHLBACH R.N.
Registered Nurse (Home Health)
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
CARMEL CHRISTINE MATHEUS RN
Registered Nurse
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
CHRISTINA TRECCARICHE
Registered Nurse
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
KATE DEBEAUCHAMP RN
Registered Nurse (Home Health)
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
MARCIA SAINT PREUX
Registered Nurse
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051
MRS. AURORA BIBAT ZAPPA RN
Registered Nurse (Home Health)
24 ROBERTS ST
FARMINGDALE, NY 11735
Suffolk County (516) 293-0051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Clark's NPI number?

The NPI number for Jeanette Clark is 1225861016. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Jeanette Clark located?

Jeanette Clark practices at 24 Roberts St, Farmingdale, NY 11735. The listed phone number is (516) 293-0051.

What is Jeanette Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Jeanette Clark was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.