Individual
JENNA MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1201 S CARSON ST, CARSON CITY, NV 89701-5225
(775) 445-7330
(775) 841-1139
Mailing address
1157 WESTHAVEN AVE, CARSON CITY, NV 89703-2368
(774) 445-9099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
884347
NV
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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