Individual
JENNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CPT
Contact information
Practice address
6801 ROGERS AVE FL 5, FORT SMITH, AR 72903-4067
(479) 274-4100
Mailing address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1417
AR
Other
Enumeration date
02/05/2020
Last updated
05/06/2026
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