Individual
JONAS DEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN RN, AGAC-NP
Contact information
Practice address
400 MATTHEW ST STE 302, MARIETTA, OH 45750-1656
(740) 568-5207
(740) 568-5297
Mailing address
22155 JORDAN RUN RD, GUYSVILLE, OH 45735-9594
(740) 517-0674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0027078
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0027078
OH
Other
Enumeration date
07/16/2020
Last updated
12/11/2025
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