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Johneisha Denise Clark
Psychiatric/Mental Health Nurse Practitioner in Jacksonville, Florida
NPI 1649827445

Johneisha Denise Clark is a Psychiatric/Mental Health Nurse Practitioner based in Jacksonville, FL and is specialized in Psychiatric/Mental Health. Johneisha Denise Clark practices in Jacksonville, FL. The NPI Number for Johneisha Denise Clark is 1649827445 and holds a License No. APRN11004035 (Florida).

The current practice location address for Johneisha Denise Clark is 3333 W 20Th St, Jacksonville, FL and can be reached out via phone at 904-695-9145.

Location: 3333 W 20Th St, Jacksonville, FL, 32254-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649827445
Provider Name
Johneisha Denise Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3333 W 20Th St, Jacksonville, FL, 32254-1703
Phone Number
904-695-9145
Fax Number
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3333 W 20Th St
City
Jacksonville
State
Florida
Zip
32254-1703
Phone Number
904-695-9145
Fax Number
person
Provider Business Mailing Address Details
Address
3333 W 20Th St
City
Jacksonville
State
Florida
Zip
32254-1703
Phone Number
904-695-9145
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN11004035 (Florida)
Definition
Definition to come...
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