Individual
JENNIFER RICHARDS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Mailing address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011173
APRN LICENSE
KY
Enumeration date
07/18/2017
Last updated
03/21/2019
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