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Individual

JENNIFER L CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0001
(402) 559-0692
(402) 559-6779
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
112647
NE
363L00000X
Nurse Practitioner
Primary
112647
NE

Other

Enumeration date
11/15/2018
Last updated
12/18/2018
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