Individual
JESSICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-1815
(205) 996-0365
Mailing address
1701 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-1815
(205) 996-0365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-190185
AL
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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