Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELINDA CLARKE, MS, RN, FNP, PMHNP
Active Sole ProprietorMELINDA CLARKE, MS, RN, FNP, PMHNP is a Nurse Practitioner healthcare provider located in BOHEMIA, New York. NPI 1184999344 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BOHEMIA, NY
Registration Details
- NPI Number
- 1184999344
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2012 (14.220467494153 yrs)
- Last Updated
- Oct 18, 2024
- Licenses
-
687063 (NY)344753 (NY)405889 (NY)344753 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 ORVILLE DR STE 100BOHEMIA, NY, 117162505Browse NY providers · Browse ZIP 11716
- Phone
- 6315005925
- Fax
- 6315005979
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.