Janeen Clark
Individual provider Active NPI Registered Nurse · Beechhurst, NY
NPI 1750258331 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1750258331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 696361 (NY)
- Practice address
- 2103 Murray St
Beechhurst, NY 11357-3736 - Phone
- (917) 817-2990
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696361 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 696361 | NY | Yes |
Addresses
Primary practice location
2103 Murray St
Beechhurst, NY 11357-3736
Mailing address
2103 Murray St
Beechhurst, NY 11357-3736
Phone (917) 817-2990
Other providers in Beechhurst, NY
- Talia Best
- Kory Byrns
- Trina L Casselli
- Joseph M Comito
- Robin Joy Evans
- Joanne Ioannou
- Donna Kam
- Maria Antonia Kober
All providers in Beechhurst, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.