person
Jessica Clark
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1659966729

Jessica Clark is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Jessica Clark practices in Philadelphia, PA. The NPI Number for Jessica Clark is 1659966729 and holds a License No. MT222427 (Pennsylvania).

The current practice location address for Jessica Clark is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 800-836-7536.

Location: 3401 N Broad St, Philadelphia, PA, 19140-5103
person
Provider Profile Details
NPI Number
1659966729
Provider Name
Jessica Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19140-5103
Phone Number
800-836-7536
Fax Number
Provider Enumeration Date
03/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
800-836-7536
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
800-836-7536
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
()
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MT222427 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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