Individual
PROF. JENNIFER LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
12 QUEEN ST, WORCESTER, MA 01610-2411
(774) 312-2423
(508) 755-6905
Mailing address
162 CHANDLER ST, WORCESTER, MA 01609-2924
(774) 312-2423
(508) 755-6905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2286841
MA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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