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1851284004 NPI number — DONNA MARY CLARK BSN, RN

NPI Number: 1851284004
Health Care Provider/Practitioner: DONNA MARY CLARK BSN, RN

Information about “1851284004” NPI (DONNA MARY CLARK BSN, RN) exists in 1851284004 in HTML format HTML  |  1851284004 in plain Text format TXT  |  1851284004 in PDF (Portable Document Format) PDF  |  1851284004 in an XML format XML  formats.

NPI Number : 1851284004 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851284004",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLARK",
    "FirstName": "DONNA",
    "MiddleName": "MARY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSN, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SOFIELD",
    "OtherFirstName": "DONNA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "BSN, RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "608 W FREDERICKSBURG ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROKEN ARROW",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74011-6405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8921 S MINGO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74133-5841",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-252-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2025",
    "LastUpdateDate": "05/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163W00000X",
        "TaxonomyName": "Registered Nurse",
        "LicenseNumber": "09527",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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