Individual
DR. JESSICA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRAND PANAMA BLVD STE 104, PANAMA CITY BEACH, FL 32407-3459
(850) 238-8511
(850) 238-8873
Mailing address
600 GRAND PANAMA BLVD STE 104, PANAMA CITY BEACH, FL 32407-3459
(850) 238-8511
(850) 654-3320
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME127249
FL
207N00000X
Dermatology Physician
N3566
TX
Other
Enumeration date
06/05/2008
Last updated
12/03/2024
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