Dr. Juliana Jackson Clark
M.D. | Pediatric Adolescent Medicine | Female
Dr. Juliana Jackson Clark, M.D. is a Raleigh, North Carolina based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Juliana Jackson Clark is
2406 Blue Ridge Rd, Suite 100, Raleigh, North Carolina - 27607-6678. She can be contacted on phone at
919-786-5001 and fax number 919-786-5051.
Dr. Juliana Jackson Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Juliana Jackson Clark is
1982675344 which was assigned by NPPES on 01 Feb, 2006 and it was last updated on 08 Jul, 2007.
Dr. Juliana Jackson Clark specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Juliana Jackson Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Juliana Jackson Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Juliana Jackson Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2406 Blue Ridge Rd, Suite 100
Raleigh, NC, 27607-6678
United States |
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| Phone Number : | 919-786-5001 |
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| Fax Number : | 919-786-5051 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982675344 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Feb, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Juliana Jackson Clark are as mentioned. Primary taxonomy code for Dr. Juliana Jackson Clark, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Juliana Jackson Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 89138NX | MEDICAID | NC | |
| 138NX | Other | NC | BLUECROSSBLUESHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2406 Blue Ridge Rd, Suite 100
Raleigh, NC, 27607-6678
United States |
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| Phone Number : | 919-786-5001 |
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| Fax Number : | 919-786-5051 |
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Business Location:
Patients can refer following map for directions to
Dr. Juliana Jackson Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.