Individual
JENNIFER MORGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
10 PATEWOOD DR STE 130, GREENVILLE, SC 29615-6317
(864) 455-8988
(864) 522-5555
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024167709
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13282
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4552
—
SC
Enumeration date
05/18/2007
Last updated
05/20/2021
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