Individual
MS. JEANNE PATRICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
S 9466 VALLEY VIEW RD, PLAIN, WI 53577
(608) 546-9212
Mailing address
S 9466 VALLEY VIEW RD, PLAIN, WI 53577
(608) 546-9212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82329-30
WI
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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