Provider Demographics
NPI:1154194462
Name:CLARKE, ERIN ELISABETH (DNP, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELISABETH
Last Name:CLARKE
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MCWILLIAMS PL
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1609
Mailing Address - Country:US
Mailing Address - Phone:212-226-7666
Mailing Address - Fax:212-202-7988
Practice Address - Street 1:9 MCWILLIAMS PL
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1609
Practice Address - Country:US
Practice Address - Phone:122-267-6662
Practice Address - Fax:212-202-7988
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY837075163W00000X
NJ26NR20063400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse