Individual
JESSICA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 MARKET PLACE RD, PENSACOLA, FL 32504-8986
(855) 527-7246
(833) 810-1165
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11022604
FL
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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