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Jonathan Andrew Clark, APRN
Family Nurse Practitioner in St Petersburg, Florida
NPI 1790246270

Jonathan Andrew Clark is a Family Nurse Practitioner based in St Petersburg, FL and is specialized in Family. Jonathan Andrew Clark practices in St Petersburg, FL and has the professional credentials of APRN. The NPI Number for Jonathan Andrew Clark is 1790246270 and holds a License No. 11000850 (Florida).

The current practice location address for Jonathan Andrew Clark is 5042 12Th Ave N, St Petersburg, FL and can be reached out via phone at 727-631-2091.

Location: 5042 12Th Ave N, St Petersburg, FL, 33710-6011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790246270
Provider Name
Jonathan Andrew Clark
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
5042 12Th Ave N, St Petersburg, FL, 33710-6011
Phone Number
727-631-2091
Fax Number
Provider Enumeration Date
03/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5042 12Th Ave N
City
St Petersburg
State
Florida
Zip
33710-6011
Phone Number
727-631-2091
Fax Number
person
Provider Business Mailing Address Details
Address
5042 12Th Ave N
City
St Petersburg
State
Florida
Zip
33710-6011
Phone Number
727-631-2091
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11000850 (Florida)
Definition
Definition to come...
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