Individual
NINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Mailing address
726 ASPEN LEAF DR, PONTE VEDRA, FL 32081-6037
(850) 748-6605
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN82973
FL
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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