Individual
JILL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
319 S 17TH ST STE 726, OMAHA, NE 68102-1991
(402) 204-1895
Mailing address
6632 FRANKLIN ST, OMAHA, NE 68104-4664
(402) 594-9532
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
05/01/2025
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