Individual
MRS. JEWELLANN MARGARET CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1787 FORT RIVER WAY, DACULA, GA 30019-6789
(770) 449-2458
Mailing address
1787 FORT RIVER WAY, DACULA, GA 30019-6789
(770) 449-2458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 310411
OH
163W00000X
Registered Nurse
Primary
RN237466
GA
Other
Enumeration date
12/03/2008
Last updated
04/18/2016
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