Individual
JENE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 MAIN ST, SOUTH AMBOY, NJ 08879-1142
(173) 295-2150
Mailing address
1 MAIN ST, SOUTH AMBOY, NJ 08879-1142
(173) 295-2150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07054000
NJ
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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