Organization
C&J FAMILY HEALTH CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES CLARK APRN, FNP (OWNER)
(219) 345-5151
Entity
Organization
Contact information
Practice address
11920 W STATE ROAD 10, DEMOTTE, IN 46310-9755
(219) 345-5151
(219) 345-5252
Mailing address
11920 W STATE ROAD 10, DEMOTTE, IN 46310-9755
(219) 345-5151
(219) 345-5252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000776A
IN
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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