Individual
MS. JACQUELYN HELENA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 E MAIN ST STE 1, WAYNESBORO, PA 17268-2318
(717) 762-9118
Mailing address
1051 E MAIN ST STE 1, WAYNESBORO, PA 17268-2318
(717) 762-9118
(717) 762-2860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD473102
PA
Other
Enumeration date
05/24/2018
Last updated
02/02/2023
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