person
Mr. Jeremiah Robins Clark, FNP-BC
Family Nurse Practitioner in Rexburg, Idaho
NPI 1356123657

Jeremiah Robins Clark is a Family Nurse Practitioner based in Rexburg, ID and is specialized in Family. Jeremiah Robins Clark practices in Rexburg, ID and has the professional credentials of FNP-BC. The NPI Number for Jeremiah Robins Clark is 1356123657 and holds a License No. TEMP77813 (Idaho).

The current practice location address for Jeremiah Robins Clark is 600 Pioneer Rd Apt 1320, Rexburg, ID and can be reached out via phone at 269-428-7228.

Location: 600 Pioneer Rd Apt 1320, Rexburg, ID, 83440-3711
person
Provider Profile Details
NPI Number
1356123657
Provider Name
Jeremiah Robins Clark
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
600 Pioneer Rd Apt 1320, Rexburg, ID, 83440-3711
Phone Number
269-428-7228
Fax Number
Provider Enumeration Date
10/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Pioneer Rd Apt 1320
City
State
Zip
83440-3711
Phone Number
269-428-7228
Fax Number
person
Provider Business Mailing Address Details
Address
600 Pioneer Rd Apt 1320
City
State
Zip
83440-3711
Phone Number
269-428-7228
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
TEMP77813 (Idaho)
Definition
Definition to come...
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