CAMARINE CLARKE
Licensed Practical Nurse

Address: 163 Westridge Cir, Dallas, GA 30132-9232

CAMARINE CLARKE (NPI# 1750976759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750976759
Entity Type Individual
Full Name MRS. CAMARINE CLARKE
Gender Female
Credential LPN
Practice Address 163 Westridge Cir
Dallas
GA 30132-9232
Practice Telephone 4045700670
Mailing Address 163 Westridge Cir
Dallas
GA 30132-9232
Mailing Telephone 4045700670
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 193400000X SINGLE SPECIALTY GROUP 093258 GA Nursing Service Providers

Office Location

Street Address 163 WESTRIDGE CIR
City DALLAS
State GA
Zip Code 30132-9232

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205398526 Away Lice Removal Specialists, LLC Homeopath 531 Hardee Street, Dallas, GA 30132 2019-04-04
1306313184 Jessica Ramskogler Counselor · Professional 168 N. Johnson St, Suite 304, Dallas, GA 30132 2018-10-30
1912489337 Michelle Jennifer Bergman Lactation Consultant, Non-RN 549 Waburn Walk, Dallas, GA 30132 2018-09-01
1982122040 Katie Montgomery Speech-Language Pathologist 283 Red Hawk Way, Dallas, GA 30132 2017-09-08
1528438413 Georgia Dental Professionals, PC · Picketts Mill Dental Care Dentist · General Practice 8709 Dallas Acworth Hwy, Dallas, GA 30132 2015-10-05
1083038012 Joni Baumann Nurse Practitioner · Family 600 W Memorial Dr, Dallas, GA 30132 2014-02-11
1700126810 Elizabeth Anne Pagels Speech-Language Pathologist 283 Red Hawk Way, Dallas, GA 30132 2013-02-26
1013256130 Paulding Auto Sales Private Vehicle 210 E Memorial Dr, Dallas, GA 30132 2013-02-08
1255613410 Matthew Lerandal Talley Chiropractor 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 2011-09-14
1003109422 Ashlyn Drugs · Ashlyn Drugs Pharmacy 1160 Old Harris Rd, Dallas, GA 30132 2011-05-18
Find all providers in zip 30132

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447844071 Kathy Murphy 311 White Ingram Pkwy, Dallas, GA 30132-0969 2021-02-24
1508450156 Linda Mae Harris 311 White Ingram Pkwy, Dallas, GA 30132-0969 2021-02-24
1083224026 Tyler Rodriguez 10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 2020-08-05
1649888777 Sonya Williams 3481 Pinebrock Dr, Dallas, TX 75241 2020-07-15
1669099032 Jacinta Irungu 9959 Adleta Blvd Apt 1906, Dallas, TX 75243-8142 2020-07-01
1841814928 Wounds On Wheels LLC 210 Valley View Trl, Dallas, GA 30132-5561 2020-06-03
1558984088 Shannon Seymore 3637 Trinity Mills Rd Apt 1334, Dallas, TX 75287-6229 2020-05-19
1902439052 Loria Flanagan 210 Valley View Trail, Dallas, GA 30132-3013 2020-02-18
1144873118 Catherine Lee 225 Gordon Rd, Dallas, PA 18612-2406 2019-07-18
1861964546 Brian Christopher Eunice 4123 Cedar Springs Rd Apt 2428, Dallas, TX 75219-3551 2018-12-19
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 30132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.