Individual
JILLIAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28195775A
IN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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