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Jennifer Shae Clark, NP
Family Nurse Practitioner in Decatur, Texas
NPI 1295319374

Jennifer Shae Clark is a Family Nurse Practitioner based in Decatur, TX and is specialized in Family. Jennifer Shae Clark practices in Decatur, TX and has the professional credentials of NP. The NPI Number for Jennifer Shae Clark is 1295319374 and holds a License No. 1010436 (Texas).

The current practice location address for Jennifer Shae Clark is 215 Westside Dr Ste 200, Decatur, TX and can be reached out via phone at 940-273-5700.

Location: 215 Westside Dr Ste 200, Decatur, TX, 76234-3869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295319374
Provider Name
Jennifer Shae Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
215 Westside Dr Ste 200, Decatur, TX, 76234-3869
Phone Number
940-273-5700
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Westside Dr Ste 200
City
Decatur
State
Texas
Zip
76234-3869
Phone Number
940-273-5700
Fax Number
person
Provider Business Mailing Address Details
Address
215 Westside Dr Ste 200
City
Decatur
State
Texas
Zip
76234-3869
Phone Number
940-273-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1010436 (Texas)
Definition
Definition to come...
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