Individual
MRS. JACLYN PARKS CLAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3200 DOWNWOOD CIR NW STE 700, ATLANTA, GA 30327-5308
(404) 355-0743
Mailing address
715 MILL WALK NW, ATLANTA, GA 30327-1533
(310) 702-0819
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
263257NP
GA
Other
Enumeration date
10/23/2018
Last updated
11/07/2018
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