Individual
JENNIFER M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4025 OVERLOOK LN, SUPERIOR, WI 54880-4044
(218) 428-6850
Mailing address
4025 OVERLOOK LN, SUPERIOR, WI 54880-4044
(218) 428-6850
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1863039
MN
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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