Individual
JESSICA MARION CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(866) 821-0821
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6747
MN
Other
Enumeration date
04/18/2019
Last updated
05/15/2026
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