Individual
JACQUELYN SUE GRACE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
909 UNITY RD, CROSSETT, AR 71635-9444
(870) 364-9111
Mailing address
909 UNITY RD, CROSSETT, AR 71635-9444
(870) 364-9111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-19213
AR
Other
Enumeration date
03/24/2022
Last updated
07/29/2025
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