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Individual
JENNIFER FAYE CLARK
Active
Individual
JENNIFER FAYE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165443
TN
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN165443
TN
Other
Enumeration date
04/29/2013
Last updated
06/17/2021
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