Individual
JAY MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
(775) 443-4800
Mailing address
1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
(775) 443-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821379
NV
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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