Individual
JENEVIEVE LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 723-2500
Mailing address
1640 LOWELL AVE, BUTTE, MT 59701-5451
(406) 366-2518
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NUR-APRN-LIC-192285
MT
Other
Enumeration date
02/04/2022
Last updated
04/10/2024
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