Provider Demographics
NPI:1780810754
Name:CLARKE, JAMES A JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:CLARKE
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1546
Mailing Address - Country:US
Mailing Address - Phone:828-337-9002
Mailing Address - Fax:
Practice Address - Street 1:74 SLEEPY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1546
Practice Address - Country:US
Practice Address - Phone:828-337-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103987363AS0400X
NC202338163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical