Individual
JANE D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HOSPITAL LN STE 300, DANVILLE, IN 46122-2000
(317) 451-4639
(317) 718-2476
Mailing address
100 HOSPITAL LN STE 300, DANVILLE, IN 46122-2000
(317) 451-4639
(317) 718-2476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001703A
IN
Other
Enumeration date
07/29/2014
Last updated
03/31/2021
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