Timetra Diane Clark is a Chicago, Illinois based nurse practitioner with 3 years of experience in . She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timetra Diane Clark is 209024791 for Family in Illinois. Her current practice location is 1401 E 55th St Apt 905n, Chicago. Patients can reach her at 708-759-3112. Timetra Diane Clark is FNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1316687650. Timetra Diane Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Timetra Diane Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Timetra Diane Clark
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP-BC
Experience:
3+ years
Medical School Attended:
Other
Graduation Year:
2021
Accepts Medicare Assignment:
Yes
Practice Address:
1401 E 55th St Apt 905n, Chicago, Illinois, 60615-5468
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294117230
Enrollment ID:
I20220808000599
NPI Number:
1316687650
NPI Enumeration Date:
01 Apr, 2022
NPI Last Update On:
01 Apr, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timetra Diane Clark are as mentioned below.
License Number
Specialization
State
Status
209024791
Family
Illinois
Primary
041436444
Registered Nurse
Illinois
Secondary
9562544
Registered Nurse
Florida
Secondary
209024791
Nurse Practitioner
Illinois
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Timetra Diane Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Midwest Express Care 2 Inc (0547495467)
109
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Timetra Diane Clark 1401 E 55th St Apt 905n, Chicago, Illinois
Zip:
60615-5468
Phone Number:
708-759-3112
Patients can reach Timetra Diane Clark at 1401 E 55th St Apt 905n, Chicago, Illinois or can call to book an appointment on 708-759-3112.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.