Jonica Heather Clarke, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN126101 Issued in AZ

Practice address

25250 N 35TH Ave
Phoenix, AZ 85083-4335

Phone

(623) 445-7110

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1417435835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 W COUNTRY CLUB TER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25250 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850834335",
            "telephone_number": "623-445-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JONICA",
        "middle_name": "HEATHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN126101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Edward Clarke, MD
• Daxa Clarke, MD
• Henry D Clarke, M.D.
• Jeremy Clarke, PHARMD
• Jessie Clarke
• Pamela Clarke
• Patricia Louise Clarke, M.D.
• Trevor Bradley Clarkson, D.O.
• Dawn M. Clary, O.D.
• Classical Physical Therapy

• School Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.