Individual
JESSICA C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2905 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 538-2494
(336) 538-2497
Mailing address
2905 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 538-2494
(336) 538-2497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052894
PA
Other
Enumeration date
04/18/2007
Last updated
03/04/2010
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