Marla Jo Clancy
Nurse Practitioner - Psychiatric/Mental Health
4041 Taylor Rd Ste G
Chesapeake
, Virginia 23321-5525
Marla Jo Clancy
Nurse Practitioner - Psychiatric/Mental Health
4041 Taylor Rd Ste G
Chesapeake
, Virginia 23321-5525
(757) 483-0737
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Marla Jo Clancy
- 4041 Taylor Rd Ste G
- Chesapeake, VA
- Zip : 23321-5525
- Fax : (757) 483-0737
- Phone : (757) 483-6404
Second Address
- Marla Jo Clancy
- 4041 Taylor Rd Ste G
- Chesapeake, VA
- Zip : 23321-5525
- Fax : (757) 483-0737
- Phone : (757) 483-6404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024180099 | VA |
National Provider Identifier
| NPI | 1023623436 |
|---|---|
| Provider Name | Marla Jo Clancy |
| First Address | Chesapeake, VA 23321-5525 |
| Second Address | Chesapeake, VA 23321-5525 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2020 |
| Last Update Date | 07/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.