Individual
JESSIE LEIGH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
271 N ACORN ST, NEWBERG, OR 97132-7584
(805) 551-9525
Mailing address
271 N ACORN ST, NEWBERG, OR 97132-7584
(805) 551-9525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201394701RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10045453
OR
Other
Enumeration date
04/22/2024
Last updated
10/08/2025
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