MEDICARE: ERIN ELISABETH CLARKE DNP, CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	26NJ15383900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154194462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ELISABETH CLARKE DNP, CPNP-PC

Provider Business Mailing Address
First Line	:	9 MCWILLIAMS PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-1609
Country	:	US
Telephone Number	:	212-226-7666
Fax Number	:	212-202-7988

Provider Business Practice Location Address
First Line	:	9 MCWILLIAMS PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-1609
Country	:	US
Telephone Number	:	122-267-6662
Fax Number	:	212-202-7988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	03/12/2026

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