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Jeremy Clark
Family Nurse Practitioner in Pell City, Alabama
NPI 1699458935

Jeremy Clark is a Family Nurse Practitioner based in Pell City, AL and is specialized in Family. Jeremy Clark practices in Pell City, AL. The NPI Number for Jeremy Clark is 1699458935 and holds a License No. 1-178487 (Alabama).

The current practice location address for Jeremy Clark is 41 Eminence Way Ste A, Pell City, AL and can be reached out via phone at 205-884-9000.

Location: 41 Eminence Way Ste A, Pell City, AL, 35128-2338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699458935
Provider Name
Jeremy Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
41 Eminence Way Ste A, Pell City, AL, 35128-2338
Phone Number
205-884-9000
Fax Number
Provider Enumeration Date
08/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
41 Eminence Way Ste A
City
Pell City
State
Alabama
Zip
35128-2338
Phone Number
205-884-9000
Fax Number
person
Provider Business Mailing Address Details
Address
41 Eminence Way Ste A
City
Pell City
State
Alabama
Zip
35128-2338
Phone Number
205-884-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-178487 (Alabama)
Definition
Definition to come...
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