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Jacob Clark, APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Draper, Utah
NPI 1487009957

Jacob Clark is a Psychiatric/Mental Health Nurse Practitioner based in Draper, UT and is specialized in Psychiatric/Mental Health. Jacob Clark practices in Draper, UT and has the professional credentials of APRN,PMHNP-BC. The NPI Number for Jacob Clark is 1487009957 and holds a License No. (Utah).

The current practice location address for Jacob Clark is 138 E 12300 S Unit 860, Draper, UT and can be reached out via phone at 801-449-1429.

Location: 138 E 12300 S Unit 860, Draper, UT, 84020-7976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487009957
Provider Name
Jacob Clark
Credential
APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
138 E 12300 S Unit 860, Draper, UT, 84020-7976
Phone Number
801-449-1429
Fax Number
Provider Enumeration Date
05/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
138 E 12300 S Unit 860
City
Draper
State
Utah
Zip
84020-7976
Phone Number
801-449-1429
Fax Number
person
Provider Business Mailing Address Details
Address
138 E 12300 S Unit 860
City
Draper
State
Utah
Zip
84020-7976
Phone Number
801-449-1429
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
8480668-4405 (Utah)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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