Individual
JACLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 E MARKET ST STE 303, WEST CHESTER, PA 19382-2748
(610) 738-2690
Mailing address
1925 WAID WAY, DOYLESTOWN, PA 18901-2215
(215) 582-4422
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030814
PA
Other
Enumeration date
10/15/2024
Last updated
10/16/2024
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