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Jamee Lynn Clark, CPNP-PC
Pediatric Nurse Practitioner in Fredericktown, Missouri
NPI 1205183399

Jamee Lynn Clark is a Pediatric Nurse Practitioner based in Fredericktown, MO and is specialized in Pediatrics. Jamee Lynn Clark practices in Fredericktown, MO and has the professional credentials of CPNP-PC. The NPI Number for Jamee Lynn Clark is 1205183399 and holds a License No. 2012024969 (Missouri).

The current practice location address for Jamee Lynn Clark is 735 W Main St, Fredericktown, MO and can be reached out via phone at 573-783-8875.

Location: 735 W Main St, Fredericktown, MO, 63645-1113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205183399
Provider Name
Jamee Lynn Clark
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
735 W Main St, Fredericktown, MO, 63645-1113
Phone Number
573-783-8875
Fax Number
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500948203 05 MO
institution
Provider Business Practice Location Address Details
Address
735 W Main St
City
Fredericktown
State
Missouri
Zip
63645-1113
Phone Number
573-783-8875
Fax Number
person
Provider Business Mailing Address Details
Address
735 W Main St
City
Fredericktown
State
Missouri
Zip
63645-1113
Phone Number
573-783-8875
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
2012024969 (Missouri)
Definition
Definition to come...
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