person
Jennifer Joann Clark, NP
Family Nurse Practitioner in Anderson, Missouri
NPI 1710355615

Jennifer Joann Clark is a Family Nurse Practitioner based in Anderson, MO and is specialized in Family. Jennifer Joann Clark practices in Anderson, MO and has the professional credentials of NP. The NPI Number for Jennifer Joann Clark is 1710355615 and holds a License No. 2015031288 (Missouri).

The current practice location address for Jennifer Joann Clark is 104 E Main St, Anderson, MO and can be reached out via phone at 417-845-6984 and via fax at 417-845-6976.

Location: 104 E Main St, Anderson, MO, 64831-4103
person
Provider Profile Details
NPI Number
1710355615
Provider Name
Jennifer Joann Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
104 E Main St, Anderson, MO, 64831-4103
Phone Number
417-845-6984
Fax Number
417-845-6976
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710355615 05 MO
201119140A 05 KS
200605370A 05 OK
institution
Provider Business Practice Location Address Details
Address
104 E Main St
City
State
Zip
64831-4103
Phone Number
417-845-6984
Fax Number
417-845-6976
person
Provider Business Mailing Address Details
Address
104 E Main St
City
State
Zip
64831-4103
Phone Number
417-845-6984
Fax Number
417-845-6976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2015031288 (Missouri)
Definition
Definition to come...
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