Individual
JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 205, HAGERSTOWN, MD 21742-6797
(301) 665-4950
(301) 665-4956
Mailing address
11110 MEDICAL CAMPUS RD STE 205, HAGERSTOWN, MD 21742-6797
(301) 665-4950
(301) 665-4956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R210538
MD
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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